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g (76 UA✓/% FOR OFFICE USE ONLY 'ERMIT# C/6L ?`c� as <br /> • BUILDING <br /> —PLANNING <br /> Bldg/TI/Addn/Rem Size /J(#? S,I Zoning Classification <br /> Garage Size 50 SA Overlay/Agreement <br /> VALUATION /57// 9 Z 7 Nonresidential Use <br /> Number of Stories 3 f Residential Use <br /> Occupancy Group RAI 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 _bate:/P///3// <br /> Existing Fire Alarm Yes No Unk Historic Appr ed 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: e Date:CO/1(p Calculated School Impact Fee: <br /> Comments: IN . Lp GuS1 School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS. <br /> Plan Check Fee Intake Checked By: Date: <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 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 /> .7–Hi <br />