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FOR OFFICE USE ONLY ERMIT# <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification _ 3 <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use C9VANAEIL\1'(_- C <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 il/� ♦} Date: <br /> pp �� 1L 1 �� <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 /> .‘ <br /> Enclosure Law Applies Yes_ #of Net New Units: <br /> Deferred Submit I Req'd Yes_ No Calculated School Impact Fee: <br /> Approved by: 4A „_/LI School Impact Fee Credit: <br /> Comments/�/ / Total School Impact Fee Owed: <br /> Come �� �� <br /> k....kak PO-3 4-aovt-Q-- <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date:;,J <br /> Plan Check Fee Intake Comments:4' /'b.%j�� I TS! .Jle /� <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: 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 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 /> � Zr� <br />