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OFFICE USE ONLY- <br /> , PERMIT# / g 0 1.?) <br /> • <br /> . BUILDING <br /> Bldg/T1/Addn/Rem Size • <br /> i 'Zaning GIassrficafiion <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: ' <br /> Basement Yes No Fin/Unf <br /> .-- 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 I I <br /> Phone#: <br /> Reason <br /> Approved by: Date: <br /> Existing Fire Alarm Yes ; No Unk Historic Approved 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 <br /> Approved by. Date: I Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> • <br /> I Total School Impact Fee Owed: <br /> Comments: <br /> i I <br /> FEES PUBLIC UffORKS <br /> Plan Check Fee Intake Checked By: Date: <br /> Building Permit Intake Comments: <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes <br /> Plumbing Fee NO <br /> PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: 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/ <br /> Existing Bldg. <br /> Public Works Fee Update/New Detection Yes <br /> / No Existing Bldg. <br /> School Mitigation Fee Update/New Chemical Yes No <br /> Existing BIdg. <br /> Update/New Fire Service Yes No/Existing Bldg. <br /> Approved by: �_ Date: ej 124 I i e <br /> Comments: <br />