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I' <br /> FOR OFFICEUSE ONLY <br /> PERMIT#_ � O Z�Q'�3 <br /> . BUILDII • 1 <br /> PI-MONO NO - <br /> • <br /> BldgTfl/Addn/Rem Size j 'Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: • • <br /> Basement Yes No_Fin/Unf Landscape or PIanning Inspection <br /> Type of Construction needed before final? . Yes No <br /> Existing Sprinkler System? Yes No Unk I Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason <br /> Approved by: Date: <br /> Existing Fire Alarm Yes — No_Unk Historic Approved 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 <br /> Approved by: Date: I Calculated School Impact Fee: <br /> Comments: . <br /> �( D - 1 School Impact Fee Credit: <br /> , �.�GT'� CLQ!-e iAC /J 6d.J A Ll I ''7v� • <br /> S�Q ...Li) <br /> ate--. <br /> ` 1 Notal School Impact Fee Owed: <br /> Prc k c �y r <br /> Comments: <br /> . -{ i <br /> t -e_ x <br /> • <br /> • <br /> FEES • <br /> PUBLIC Y{WORICS - <br /> Plan Check Fee Intake Checked By: Date: <br /> Building Permit Intake Comments: <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes <br /> Plumbing Fee No <br /> 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, <br /> PW Permit Not Required <br /> Sewer Fee <br /> Systems Dev.Fee .FIRE DEPARTMENT - <br /> Traffic Mitigation Fee Update/New Sprinklers Yes No <br /> Existing Bldg. <br /> Public Works Fee Update/New Detection Yes No <br /> Existing Bldg. <br /> School Mitigation Fee Update/New Chemical Yes_ No <br /> Existing Bldg. <br /> Update/New Fire Service Yes No— Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br />