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FOR OFFICE USE ONLY PERMIT# C t bO\ W <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Reni Size ®Ldi <br /> Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 2---1 / , ,40-4Nonresidential Use <br /> Number of Stories 2- Residential Use <br /> Occupancy Group fq,1 vi, Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No's Fin/Unf Landscape or Planning Inspection <br /> Type of Construction 3i6 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 : "Z„,(e/(v <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approve 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: Date2i/Z//$ School Impact Fee Credit: , <br /> Comments: Total School Impact Fee Owed: <br /> SOI G I a t) + vi), -� 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 Reviewers# Date: Z-- —ig <br /> Ping Bldg Review Fee K 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 />