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BLO G � �Y' F T FOR OFFICE USE ONLY _PERMIT# I*O 25 <br /> 13UILDING6 ' } <br /> PLANNING <br /> Bldg/TI/Addn/Rem Size ("i(00 Zoning Classification <br /> Garage Size •i.C. .‹i Overlay/Agreement <br /> VALUATION 2#7 1'7 7 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 4,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: <br /> 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 Dist <br /> Enclosure Law Applies Yes— #of Net New Units: <br /> Deferred Submittal Req'd Yes_ No_ <br /> Approved by: jtb. Date: Calculated School Impact Fee: <br /> Comments: 24/i2e. ,e F.- School Impact Fee Credit • <br /> Total School Impact Fee Owed: <br /> Comments: <br /> l ES PUBLIC WORKS. <br /> Plan Check Fee Intake Checked By: !e Date: 9.8-/6 <br /> Building Permit Intake Comments: <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes" No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee x 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 ExistingBldg. <br /> — — — <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 />