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V;3-ta <br /> FOR OFFICE USE ONLY PERMIT# C 11° -OO <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size (2--0g2 ft) Zoning Classification <br /> Garage Size n LI3-j 1 Overlay/Agreement <br /> VALUATION (� L Nonresidential Use <br /> Number of Stories 2 Residential Use <br /> Occupancy Group R I lk Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ NoY 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 Approve/10' Date: g ( (ei <br /> Existing Fire Alarm Yes_ No_Unf Historic App,oved by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes_ #of Net New Units: <br /> Deferred Submittal Req'd Yes No_ Calculated School Impact Fee: <br /> Approved by: 4� Date:/Z$%y" . School Impact Fee Credit: <br /> Comments: _ Total School Impact Fee Owed: <br /> 0211G $ WrOC9 Comments: <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit <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: he Date: 5-22-/7 <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee K PW Permit Approved, PW 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 />