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FOR OFFICE USE ONLY PERMIT#MlL0u1--t56 <br /> '.'Esta, n"ui :t:�+S:'�.--_.s1n_ ) ^•-F'; - -'4;}. y�� tide., a'.Y:•;;�. <br /> -�� - r:�:':TCi•�.ii:'�.--,at..� �.- .-. :i -. ...:_i-.--:-`ff:-� :' <br /> bo-..._-.. .� <br /> Bldg/TI/Addn/Rem Size 1 ;Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION i Nonresidential Use <br /> Number of Stories ,Residential Use <br /> Occupancy Group I Proposed No.of Dwelling Units: <br /> Occupant Load ;Total No.of Dwelling Units: - <br /> Basement Yes— No_Fin/Unk 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 by: Date: • <br /> Existing Fire Alarm Yes— No_Unk Historic Approved by: Date: I <br /> Fire Alarm Required Yes No— School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law lies Yes— #of Net New Units: <br /> Deferred Subm• al Req;d Yes No_ Calculated School Impact Fee: • <br /> Approved by: DatetO_1 / L School Impact Fee Credit <br /> Comments' /'),A.. <br /> Total School Impact Fee Owed: ° _ <br /> Comments: . <br /> i4__'da.'„'y"F_��'�i�t�x:�.�:�-j!:�yJ'3�.7'{�P»:E:-s�.�;}.t�.i- -' � -y}.`tt�-''?:'- - _v _ _ •a.: <br /> .F„_`it te- =r` `:V =M yR--~P,'"= ; ' `: _ Intake Checked By: Date: <br /> Plan Check Fee _ Intake Comments: <br /> Building Permit <br /> Surcharge <br /> —_—Additional Plan Check--— — -- — ---_PW PermitAppl atiio1i-Sabmitted?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 /> — <br /> Sewer Fee <br /> Systems Dev.Fee IF� '��,; =YORMRMIDONEW:0 T':-,�.�`=-�1 <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 /> v <br />