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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING.� PLANNING.. .. <br /> Bldg/TI/Addn/Rem Size Zoning Classification \0\ C9)' OSS <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: X1115 'I if <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 lies Yes #of Net New Units: <br /> Deferred Submi I Req'd Yes_ No_ <br /> Approved by: Dated > ` it Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES `.. . .... ...... R P BLIC WORKS< <br /> Plan Check Fee Intake Checked By: ll� Date: "6101 l 0 I I 1 <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 /> Mechanical Fee PW REVIEW: PW Reviewer: Date: <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 ;y'....... ... FIRE DEPARTMEI1 T . . . <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 />