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* -16-(e) DA FOR OFFICE USE ONLY PERMIT# V I.C31�(AZ' <br /> BUILDING PLANNING <br /> Bldg/TJ/Addn/Rem Size (2--012 (1) Zoning Classification <br /> Garage Size ) L12) I ° Overlay/Agreement <br /> / <br /> VALUATION (� I -!(J1 <br /> Nonresidential Use <br /> Number of Stories - Residential Use <br /> Occupancy Group (4,11 & 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 aLl 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 . Date: 0./t!g <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approv/by: Date: <br /> Fire Alarm Required Yes— No— School Mitigation Reqd? Yes_ No 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: Date2/%Zh9 School Impact Fee Credit: <br /> Comments:(_ Total School Impact Fee Owed: <br /> t l'J I.RC. + c Comments: <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit n03‘ <br /> Surcharge pto1802-- <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW ReviewerjE-.{ Date: Z-zz--8 <br /> Ping Bldg Review Fee X 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 />