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q?) 11 <br /> FOR OFFICE USE ONLY PERMIT# nog-- 0 l <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size '�12,(p Zoning Classification <br /> Garage SizeAli Size • <br /> Overlay/Agreement <br /> VALUATION 9' 21 1 133 Nonresidential Use <br /> Number of Stories 2 Residential Use <br /> Occupancy Group rZ 1 IA/ Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes No Fin/UnfLandscape 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 b a / ate: ti( / (-7 <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved • : Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes u 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:7/ /F School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> 2115 4126 4 i, ,v 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: /a' Date: <''22-17 <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 /> 0.� <br />