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sql -f-\- FOR OFFICE USE ONLY —IDERMIT# 3\WtO \ <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size I5 IP Zoning Classification <br /> Garage Size L c Overlay/Agreement <br /> VALUATION jI-12)) II1 0 Nonresidential Use <br /> Number of Stories 2- Residential Use <br /> Occupancy Group P-1 LAI 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 .3t1 needed before final? Yes_ No— <br /> Existing Sprinkler System? Yes_ No_Unf Planning Inspector: <br /> Fire Sprinkler Required Yes_ No. Phone#: (05 Reason Approved by: Date: ''t /9 <br /> Existing Fire Alarm Yes_ No_Unf 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: j-11- Date:21/2.10 School Impact Fee Credit: <br /> Comments: ,,//�� / Total School Impact Fee Owed: <br /> 155 1 PLG 4 b Comments: - <br /> PUBLIC WORKS - <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit Pik)I$0 z—+03-q' <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:' Date: ?- -qg <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee 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 /> l Comments: <br /> \-2I2 <br />