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-1PF)OFOR OFFICE USE ONLY =ERMIT# C tuv (-D I <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size .1'11 Zoning Classification <br /> Garage Size VO Overlay/Agreement <br /> VALUATION 2;2,! S f Nonresidential Use <br /> Number of Stories °t®_ Residential Use <br /> Occupancy Group 1 (A, 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#: 440 <br /> Reason Approve.40f Date f <br /> Existing Fire Alarm Yes_ No Unk Historic Appr. ed 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 Re 'd Yes_ No Calculated School Impact Fee: <br /> Approved by: Date:7/fr2/ p School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> 2,0 15 I rc, uu606 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? s No <br /> Mechanical Fee PW RE IEW: PW Reviewe Date:1 P,Va0 <br /> Ping Bldg Review Fee LVSEE 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 />