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16 <br /> FOR OFFICE USE ONLY PERMIT# tt1 V <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 1-12ta Zoning Classification <br /> Garage Size 14 1 ' 41 Overlay/Agreement <br /> VALUATION $9-v2( ) \3 Nonresidential Use <br /> Number of Stories 2_ Residential Use <br /> Occupancy Group 1 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#: / (e-- 7 Reason Approved by: a4te: y7 <br /> Existing Fire Alarm Yes No_Unk Historic Approv 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: d</ ' DateS/Z.`.z School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> 2115 1126 4 OC) 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: / e)Date: <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 />