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g1 O6 'Tht� r OJT 6 FOR OFFICE USE ONLY PERMIT it ei�(OQif-19"C If <br /> I ' BUILDING I [JAWING <br /> BIdgITI/Addn/Rem Size 141(jp Sf Zoning Classification <br /> Garage Size 61j--I _< Overlay/Agreement <br /> VALUATION 2117 4170 Nonresidential Use <br /> Number of Stories S 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 Planning Inspection <br /> Type of Construction 'v needed before final? Yes— No— . <br /> Existing Sprinkler System? Yes— No•_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: All Reason Approved AlDate: <br /> Existing Fire Alarm Yes_ No_Unk Historic Approv,-d 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 Reqd Yes No_ <br /> Approved by: Date: Calculated School Impact Fee: <br /> Comments: L-C/2 n`2 ,, �S <br /> ii. gG School Impact Fee Credit <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS. <br /> Plan Check Fee Intake Checked By: Date: <br /> Building Permit Intake Comments: <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: 23/7 <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 /> Comments: <br />