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FOR OFF'ICE USE OIVLY PERMIT# �� l��L�� � �'� '�� <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size �`"'��} Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupanf Load Total No. of Dwelling Units: <br /> Basement Yes_ No_Fin/Unf Landscape or Planning Inspection <br /> Type of Construction (^ '`1 L� ; �� l��-� needed before final? Yes No � <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: --^--' <br /> Fire Sprinkler Required Yes Np. Phone#: <br /> Reason Approved 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 LawApplies Yes #of Net New Units: <br /> Deferred Sub ittal Req'd Yes No Calculated School Impact Fee: <br /> Approved b}� Dafe� .,_��>_ �j School Impact Fee Credit: <br /> Comment �'� Total School Impact Fee Owed: <br /> Comments: <br /> 1�'� 1�l `- V <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: � —������ <br /> Plan Check Fee lntake Comments: /�f� (�ija.I ����i*'V�-- <br /> � �� � ��. <br /> Building Permit ,J ` <br /> �'� L t�L��.�� �� �,�„�-�� <br /> Surcharge <br /> Additional Plan Check PW Permit Applicafion Submitted? Yes No � <br /> Plumbing Fee PW Worksheet Required? Yes No s� <br /> Mechanical Fee PW REVIEW: PW Reviewer:�}-,";� Date: � -����'��'Y-� <br /> Ping Bldg Review Fee ���-'SEE PW WORKSHEET-refumed 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 F31dg._ <br /> Update/New Fire Service Yes No Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br /> j-� <br /> j� ��Z <br />