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- ---- —___� �o� ���e�� ��� o��.�r �ERMIT# � i(� o z� D `�I <br /> BUILDIIVG PL,4f�li�IfVG <br /> Bid I/Addn/Rem Size l��'`j/ S�F Zoning Classification <br /> Garage Size �j� .�� Overlay/Agreement �� <br /> VALUATION �g L �`�3 Nonresidential Use <br /> Number of Sfories � Residential Use <br /> Occupancy Group � L� Proposed No. of Dwelling Units: �' <br /> Occupant Load Total No. of Dwelling Units: , <br /> Basement Yes_ No�Fin/Unf Landscape or Planning Inspe�tion <br /> Type of Construction � needed before final? es No <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: i� <br /> i <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: ' Date: <br /> Existing Fire Alarm Yes_ No __Unk Historic Approved b : Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation,Reqd? Yes No <br /> Reason • Everett School ist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New nits: <br /> Deferred Submittal Req'd Yes No <br /> Approved by: Qate: � ��. Calculate School Impact Fee: <br /> Comments: 2��Z ��L � �S�G School I pact Fee Credit: <br /> Total hool Impact Fee Owed: <br /> Cam ents: <br /> 1 <br /> FEES PUBLIC WORKS <br /> Plan Check Fee �'-� .- �j Intake Checked By: Date: <br /> Building Permit �, Intake Comments: <br /> Surcharge -�%j[� �� �� I/„��- Q� <br /> v <br /> Additional Plan Check �J. (p PW PermitApplication Submitted? Yes No <br /> Plumbing Fee �_ Q� PW Worksheet Required? Yes No <br /> Mechanical Fee �-�o PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee �,� SEE PW WORKSHEET-returned to file <br /> Water Fee �Q .� PW Permit Approved, PW Permit Not Required <br /> Sewer Fee ° �_�(� <br /> Systems Dev. Fee FIRE DEPARTMEN <br /> Traffic Mitigation Fee � 5(- (,(J Update/New Sprinklers Yes_ Existing Bldg._ <br /> Public Works Fee SC� Updafe/New Detection Yes No_ Existing Bldg._ <br /> School Mitigation Fee -�" Update/New Chemical Ye No Existin Bld <br /> — — g g'— <br /> Update/New Fire Service es_ No_ Exisfing Bldg.____ <br /> Approved by: Date: <br /> Comments: / <br /> 2 ?� <br />