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PERMIT# 5W (00"3---citr)€ <br /> FOR OFFICE USE ONLY <br /> BUILDING ;`PLANNING`'F:, <br /> Bldg/TI/Addn/Rem Size /(4 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group � — 2 Proposed No. of Dwelling Units: <br /> Occupant Load OL/7-) Total No.of Dwelling Units: <br /> Basement Yes_ No F in/Unf Landscape or Planning Inspection <br /> Type of Construction V/ — needed before final? Yes No_ <br /> Existing Sprinkler System?Yes_ No jnk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes_ No_Unk`7 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 ' •q'd Yes_ #of Net New Units: <br /> Deferred Sub ' .I -eq'd Yes_ No_ <br /> Approved b . Date: 3-a 5 - /C., Calculated School Impact Fee: <br /> Commen .: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By: Date: <br /> Surcharge Comments: <br /> Additional Plan Check <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes No_ <br /> Water Fee (Fees:Yes/No, Explanation,Permit#'s,Amount) <br /> Sewer Fee Water Fee? Sewer Fee? <br /> Systems Dev. Fee <br /> Traffic Mitigation Fee <br /> Public Works Fee System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee <br />