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FOR OFFICE USE ONLY PERMIT# '!(o 1-W7 <br /> Vijnin � <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement ,\Q <br /> VALUATION Nonresidential Use M)10 <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 b•ity 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 pplies Yes_ #of Net New Units: <br /> Deferred Submi I Req'd Yes_ No_ Calculated School Impact Fee: <br /> Approved by: Date.,L) t School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments:AU1V� <br /> C <br /> itJ -�l <br /> s,: A M" Intake Checked By: r�s Date: d 1/42f6 <br /> Plan Check Fee Intake Comments: <br /> Buildin• Permit 7" ,/4 2ege4 <br /> Surchar•e <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: 35 Date: 9/VAo4 <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee PW Permit Approved, y PW Permit Not Required <br /> Sewer Fee <br /> Systems Dev. Fee 47 �n r ' <br /> Traffic Miti•ation Fee U•date/New S•rinklers Yes No Existin• Bld•. <br /> Public Works Fee U•date/New Detection Yes No Existin• Bid.. <br /> School Miti•ation Fee U•date/New Chemical Yes No Existin• Bid.. <br /> Update/New Fire Service Yes___ No Existin• Bid.. <br /> —■—, A••rovedb : Date: <br /> Comments: <br />