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-- --- ___� F�R �I�IF9�� �.I.D�� �d�,�Zl PERMIT# ���oOZ'c�/7 <br /> �UILDING 6'L!-1NiVIRlG <br /> BidglTl/Addn/Rem Size � � ,�� Zoning Classification <br /> Garage Size Z 2 �•� erlay/Agreement <br /> VALUATION r 7�, Z� �'. No esidential Use <br /> Number of Stories „� Resid tial Use <br /> Occupancy Group ,�� �"�.4 Propos� No. of Dwelling Units: <br /> Occupant Load Total Na " Dwelling Units: <br /> Basement Yes_ No .�Fin/Unf Landscape��r Planning Inspection <br /> Type of Construction �.� needed befor final? Yes No <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspe or: <br /> Fire Sprinkler Required Yes No Phone#: � <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes___ No_Unk_ Historic Approved by: �` Dafe: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd?`Xes No <br /> � <br /> Reason • Everett School Dist MUY�ilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No 1 <br /> Approved by: ' �ate:' � �j(�. Calculated School Impact Fee: <br /> Comments: •;�J�7 ��� � �G,J�` 5chool Impact Fee Credit: <br /> � Total School Impact Fee Owed: <br /> Comments: '�� <br /> \ <br /> FEES PUBLIC WORKS <br /> Plan Check Fee �7$a_ a Infake Checked By: Date: <br /> Building Permit �{d z,• ss Intake Commenfs: <br /> Surcharge �-�Q �o �� �!„G 3�b �� <br /> i��� �(/ <br /> Additional Plan Check Z8'•$' PW PermifApplication Submitted? Yes No <br /> Plumbing Fee t 7jp .p p PW Worksheet Required? Yes No <br /> Mechanical Fee Q .p(� PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review �ee �-(� . SEE PW WORKSHEET-returned to file <br /> Water Fee �O, PW Permit Approved, PW Permit Not Required <br /> Sewer Fee '1D,0� <br /> Systems Dev. Fee ��� FIRE DEPARTMENT <br /> Trafflc Mitigation Fee �J�(•(�,D Update/New Sprinklers Yes_ No Existing Bldg._ <br /> Public Works Fee •�(7 Updafe/New Detection Yes No Existin Bld <br /> — — g g'— <br /> School Mitigation Fee Update/New Chemical Yes_ No_ Exisfing Bldg.____ <br /> Update/New Fire Service Yes_ No__ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br /> ��� �� <br />