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11)4 ph FOR OFFICE USE ONLY 4ERMIT# Cn co-b 12 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size '1-1. 11. Zoning Classification <br /> Garage Size i'`Z�p Overlay/Agreement <br /> VALUATION 1;2;2! S1,1 Nonresidential Use <br /> Number of Stories `L Residential Use <br /> Occupancy Group C 11.k. 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 Approve.," Date: 4//b7.17/b 17 <br /> Existing Fire Alarm Yes No Unk_ Historic Appr•ved'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: c '' Date:6./71/`2 School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> WIG ( IG W Se-G 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: kg Date: (D Z9 /7 <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee X 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 />