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FOR OFFICE USE ONLY PERMIT# �I ��"'J J��-�� <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size !��`� Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories ' Residential Use <br /> Occupancy Group `7 ^ j Proposed No. of Dwelling Units: <br /> Occupant Load !U,� Total No. of Dwelling Units: <br /> Basement Yes No�Fin/Unf Landscape or Planning Inspection <br /> T pe of Construction — � needed before final? Yes No� <br /> Existing Sprinkier System? Yes No " Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved b . r Date:� <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 /> Enclosure Law Ap� lies Yes #of Net New Units: <br /> Deferred Submittal 'd Yes No Calculated School Impact Fee: <br /> Approved by: j '�.. Date: �. � D •• � (.� School Impact Fee Credit: <br /> Comments: „ Total School Impact Fee Owed: <br /> Comments: <br /> ��fi ':�'�1 0.�Y--t.: <br /> `�� � � i � <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: �' �L� �1��,,�� <br /> Building Permit � ��y�/� ,�/' �� <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: Z �j� <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 Bldg._ <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 /> •Y � <br />