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FOR OFFICE USE ONLY PERMIT# <br /> BUIL®INC I�I ::.. ... .. PLANN1N <br /> Bldg/TI/Addn/Rem Size Zoning Classification 190'" (00.g'.065 <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential 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 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 by: a Date: €) '0 1 1 <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 Ap lies Yes_ #of Net New Units: <br /> Deferred Submittal/ eq'd Yes_ No— <br /> Approved by: Date: \ s. Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> 0.0 :.:. PUBLIC WORKS.:. <br /> Plan Check Fee Intake Checked By: Date: <br /> Building Permit Intake Comments: <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? �/ A Yes 'Vo <br /> Mechanical Fee PW REVIEW: PW Reviewer:F-f',/ Date: ' J Oh to <br /> Ping Bldg Review Fee SEE PW WORKSHEET-return o file • <br /> Water Fee PW Permit Approved, W 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 Bldg. <br /> Update/New Fire Service Yes No_ Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br /> 7i <br />