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FOR OFFICE USE ONLY =ERMIT# V I'(od`fI G <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 1111 1 Zoning Classification <br /> Garage Size 26 Overlay/Agreement <br /> VALUATION LV2. t € 1 1 Nonresidential Use <br /> Number of Stories `L 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#: <br /> Reason Approved : Date: (9 Z, <br /> /,/.4 <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by f 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: Date:3/B//, School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> W 15 W ' Comments: <br /> II` <br /> PUBLIC WORKS <br /> FEES Intake Checked By: 48 Date: S 14 <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: 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 />