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ft ` QJ FOR OFFICE USE ONLY � !©ERMIT#v 11 'I � .I <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size V12_( 7 a Zoning Classification <br /> Garage Size /�, 4 l 1 A Overlay/Agreement <br /> VALUATION d�2 i 11 3 Nonresidential Use <br /> Number of Stories 2 Residential Use <br /> Occupancy Group g, I Iii Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> go <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 • A / .....Date: / 7 <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 Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No Calculated School Impact Fee: _ <br /> Approved by: CAL' Date: //8//. School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> 2/151-1234wsee) <br /> 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: AV Date: 8 /a-/7 <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> ^ <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 /> 1;"\''', <br />