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�o� o��ec� u�� onr�� PERiVIIT# <br /> :::. _. <br /> :::: .....: `: :..:: .Bu��.����,:� ... : .. ..:..: � - - <br /> � .. . _,� . _ . .. ��NN1NG , . .... : �: : <br /> BldglTl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residenfiai 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 Pianning Inspection <br /> 7ype of Construcfion - needed be,#ore final? Yes� No <br /> Existing Sprinkler system? Yes No Unk Planning Inspector: � <br /> Fire Sprink(er 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 iVo School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Ap es Yes_ #of Net New Units: <br /> Deferred Submitt Req'd Yes No <br /> Approved by: Date: _ ( Caiculated School Impact Fee: <br /> Comments• School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments <br /> � ' .EEE� ' t ` s hUBLIC�OE�S: y <br /> f " .5,: <br /> �.,% <br /> .._..._... ._. ...... . ..: : . .�:�...... ................... .. ....: '..... ,....� " <br /> ..' ._.. , ....'..,.�. ..��... ..�.,. .. ,..., ,�. <br /> t <br /> Plan Check Fee Infake Checked By: Date: <br /> Building Permit infake Comments: <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? es No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: <br /> Ping Bidg Review Fee SEE PW WORKSHEET-retur d fo file � <br /> Water Fee PW Permit Approved, W Permit Not Required <br /> Sewer Fee <br /> Systems Dev. Fee ..'�.... .::. . ....�:.: .... _FIl3��Ef?ARTME�T:::.. ...t.. , _,. . - �. <br /> Traffic Mitigation Fee Updafe/New Sprinklers Yes No Existing Bidg._ <br /> Public Works Fee Updafe/New Detection Yes No �Existing Bldg._ <br /> ' School Mitigation Fee Update!New Chemica( Yes No Existing 81dg._ <br /> Updafe/New Fire Service Yes No Existing Bfdg._ <br /> Approved by: Date: <br /> Comments: <br />