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FOR OFFICE USE ONLY PERMIT#�l <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No_Fin/Unf_ Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No. Phone#: <br /> Reason Approved by: Date: ZZ' <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 Dist <br /> Enclosure Law plies Yes #of Net New Units: <br /> Deferred Subm tal Req'd Yes_ No_ Calculated School Impact Fee: <br /> Approved by: Dat2E School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: <br /> PUBLIC WOR S <br /> FEES Intake Checked By: Date: 7i0 <br /> Plan Check Fee Intake Comments: _/-,� <br /> Building Permit NO PGS C Ir—el A 47r4r jq' <br /> Surcharge NSW OVA &A*j �UJ <br /> Additional Plan Check PW Permit Application Submitted? Yes NoX _ <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: zolzvg <br /> Ping Bldg Review Fee N/R SEE PW WORKSHEET-returned to file <br /> Water Fee PW Permit Approved, _�<_PW Permit Not Required ; <br /> Sewer Fee <br /> Systems Dev. Fee FIRE DEPARTMENT <br /> Traffic Mitigation Fee Update/New Sprinklers Yes No Existing Bldg._ <br /> Public Works Fee Update/New Detection Yes No Existing Bldg._ <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 /> y <br />