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FOR OFFICE USE ONLY PERMIT# <br /> Bldg/TI/Addn/Rem Size Zoning Classification 1 1 (pO O(o 0 <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: Date: 4 1b1 'cQ <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 A plies Yes_ #of Net New Units: <br /> Deferred Submi I Req'd Yes_ No <br /> Approved by: Date:q - /-lG Calculated School Impact Fee: <br /> Comments School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> • <br /> • <br /> t_.: .GpLcc Lp+ y <br /> �i7: � -,. ,..... - <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? Yes No <br /> �t <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: t I LOW <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 s FI ©EPARTMENT <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 />