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FOR OFFICE USE ONLY =ERMIT# 0.140 --° J <br /> BUILDING za, l .PLANNING ..; ..... .._ <br /> �.. Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 9-191 14%14 Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group ,I VL Proposed No, of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No X 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 fit A Date: �J �i6 <br /> Existing Fire Alarm Yes No_Unk Historic Appr• ed by: Date: <br /> School Mitigation Reqd? Yes_ No 0 <br /> Fire Alarm Required Yes No <br /> Everett School Dist Mukilteo School Dist <br /> Reason <br /> #of Net New Units: <br /> Enclosure Law Applies Yes <br /> Calculated School Impact Fee: <br /> Deferred Submittal Req'd Yes No <br /> School Impact Fee Credit: <br /> Approved by: Date:q/"f/(, Total School Impact Fee Owed: <br /> Comments: Comments: <br /> PUBLIC WORKS ... <br /> FEES Intake Checked By: --- Date: —� <br /> Plan Check Fee Intake Comments: <br /> Building Permit F W <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? "X-e-4-YesKe <br /> X No jp� <br /> Mechanical Fee PW REVIEW: PW Reviewer:�,X`__ Date: �-� -� '! <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 />