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FOR OFFICE USE ONLY 'ERMIT# ��V l� (61 <br /> n 06\ (6• <br /> IBIdg/TI/Addn/Rem Size IZoning Classification <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:I ' <br /> Basement Yes No_Fin/Unf Landscape or PIanning 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 <br /> --- Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes• No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes— No 'School Mitigation Reqd? Yes No . . <br /> Reason • <br /> Everett School Dist Mukilfeo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Reqd Yes No <br /> Approved by: Date: I I Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: • <br /> 1 Total School Impact Fee Owed: <br /> Comments: <br /> • <br /> FEES PUBLIC WORKS - <br /> Plan Check Fee Intake Checked By: Date: <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 • . • .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 Servi e Yes No Existing BIdg. <br /> Approved by: Date: –IZ V) <br /> Comments: (.4..., <br /> ...0 <br />