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� �/ <br /> FOR OFFICE USE ONLY PERMIT# I O� � <br /> BUILDING PLANMING <br /> Bldg/TI/AddNRem Size ' ���" Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group `� -- Proposed No. of Dweliing Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes No_Fin/Unf Landscape or Planning Inspection <br /> T e of Construction � needed before final? Yes No � <br /> Existing Sprinkler System? Yes No nk � Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved Date: � ZZ , <br /> Existing Fire Alarm Yes No Unk Historic Approved by: — Date: "� � <br /> Fire Alarm Required Yes No School Miti ation Reqd? Yes No � <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enciosure Law Appl s Yes #of Net New Units: <br /> Deferred Submittal R q'd Yes No � Calculated School Impact Fee: <br /> Approved by: ,`. Date� - �� � �� School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: <br /> �, 1 n � r� i:;sL'� ;!�►��; <br /> " l i I1 <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: � <br /> Plan Check Fee Intake Comments: �� �� (�.,ry,��,� <br /> ��i <br /> Building Permit <br /> Surcharge � �-�/�'�� � �'�� <br /> Additional Plan Check PW Permit Application Submitted? Yes No X <br /> Plumbing Fee PW Worksheet Required? Yes No X� <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: 2 �/� <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 Miti ation Fee Update/New Sprinklers Yes No Existin Bidg._ <br /> Public Works Fee Update/New Detection Yes No Existin Bld . <br /> School Miti ation Fee Update/New Chemical Yes No Existin Bldg._ <br /> Update/New Fire Service Yes No Existing Bldg._ <br /> Approved b : Date: <br /> Comments: <br /> � \� <br />