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FOR OFFICE USE ONLY I ERMIT# C fl09" V t <br /> BUILDING N <br /> PLANNI G <br /> n <br /> Bldg/TI/Addn/Rem Size v12.tp Zoning Classification <br /> \ Garage Size J Overlay/Agreement <br /> ✓ <br /> VALUATION d�2 1131 3 Nonresidential Use <br /> Number of Stories L Residential Use <br /> Occupancy Group I 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 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: ( fr") <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Req.? 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: Date:7/28/j* School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> 2115 1-J 4 luS ese) 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 Reviewer:iec./Z3 Date:B'30-/7 <br /> Ping Bldg Review Fee 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 /> -,124 <br />