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------ F�,9� ���G�L� ��E O4�I,�_� .PERMIT# (. �(pDZ —O/R� <br /> BUI�DII�IG P�,ANNIiVG � <br /> Bldg/TI/Addn/Rem Size �=�� �'�� Zoning Classification <br /> Garage Size �� Overlay/Agreement <br /> VALUATION ���R `7 �`�' = Nonresidenfial Use <br /> Number of Stories ,� Residential Use <br /> Occupancy Group �`;';�, Proposed No. of Dwelling Unifs: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No,�Fin/Unf Landscape or Planning Inspecfion <br /> Type of Consfruction needed before final? Yes No <br /> Existing Sprinkler System? Yes_ No_Unk Ptanning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes No__Unk__ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No <br /> Reason � Everett School;Dist Mukilteo School Disf <br /> Enclosure Law Applies Yes #of Net New>Units: <br /> Deferred Submittal Req'd Yes No <br /> — — i� <br /> Approved by: r� Date: �/„�`"/�_ Calculate�School Impact Fee: <br /> Comments: . School pact Fee Credif: <br /> �C��`!2. /�G � ��.j��:: <br /> Total 'chool Impact Fee Owed: <br /> Com' ents: <br /> i <br /> FEES PUBLIC WORKS <br /> Plan Check Fee ���- Intake Checked By: Date: <br /> Building Permit '� v�- Intake Comments: ,/ <br /> Surcharge '�= ,j,� c� pw �(�03-Q'"� �/ <br /> Additional Plan Check �a- PW Permit Application Submitfed? Yes No <br /> Plumbing Fee �-Q PW Worksheet Required? Yes No <br /> Mechanical Fee �.pp PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee ,��. _�j SEE PW WORKSHEET-returned to file <br /> Water Fee � �Q.� PW Permit Approved, PW Permif Not Required <br /> Sewer Fee �Q,� <br /> Systems Dev. Fee Z.Q� FIRE DEPARTMENT <br /> Traffic Mitigation Fee 3��.()Q Update/New Sprinklers Yes_ No Existing Bldg._ <br /> Public Works Fee S- Update/New Detection Yes_ No Existing Bidg._ <br /> School Mitigation Fee �- Update/New Chemical Yes_ No_ Existing Bldg._ <br /> Update/New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br /> v I� <br />