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FOR OFFICE USE ONLY �ERMiT# <br /> BUILDING PLANNING <br /> Bldg/TI/Addn em'+Size ���5 U �/G Zoning Classification �'� " � <br /> Garage Size Overlay/Agreement "`— <br /> VALUATION ��, pty c's Nonresidential Use • <br /> Number of Stories Residential Use <br /> Occupancy Group � Proposed No. of Dwelling Units: i <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes� No Fin/ nf�� 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 b 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 Law Applies Yes #of Net New Units: � <br /> Deferred Submittal Req'd Yes No %�� <br /> Approved by: Date: � zL. (� Calculated Sc Impact Fee: <br /> Comments: ���Z ��L yy� ��j� Schoo pact Fee Credit: <br /> `t <br /> al School Impact Fee Owed: <br /> 3�j ZiJ S.f T�7',�lL ��.hG S x� Comments:�����',�,;; 9�(, --� �� {/� <br /> j W'�X, V <br /> �'``� ..f�'iQI��F- G�, � � �� �.�.. <br /> ' ' � ' l �ztil�'� ti�G�'`'4�`�— <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Intake Checked By: �'' Date: S-_�3 �'���� <br /> Building Permit Intake Comments: /�fL �'G� L0�1�i>�(,r� �/��IJ ,�l7� Gi1cy.'k. <br /> Surcharge �P(���� PW Qtirm� r�,�u.� �'vr r� � � <br /> Additional Plan Check PW Permit Application Submitted? es No�� � <br /> Plumbing Fee PW Worksheet Required? Yes No� (�annl�lq- <br /> Mechanical Fee PW REVIEW: PW Reviewer,� �U" �� <br /> � Date: S—�3 ' /�C <br /> Ping Bldg Review Fee '� SEE PW WORKSHEET-returned to file �161�_O�Q �n -��t,r <br /> Water Fee PW Permit Approved, �PW Permit Not Required <br /> Sewer Fee )� –3–'jQ� <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 /> �/� <br />