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V <br /> FOR OFFICE USE ONLY- PERMIT# U�1 <br /> . BU1LDI G i <br /> PLANNING - • - <br /> Bldgll7/Addn/Rem Size <br /> i i Zoning Classification i <br /> Garage Size Overlay/Agreement <br /> VALUATION 3a7o.o„ <br /> Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units:1 ' • <br /> Basement Yes No Fin/Urrf <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: e/ <br /> /�'I$ , Calculated School Impact Fee: <br /> Comments: / School Impact Fee Credit <br /> • <br /> 1 Notal School Impact Fee Owed: <br /> • Comments: <br /> I <br /> Z=EES PUBLIC WOW <br /> Plan Check Fee Intake Checked By: Date: <br /> Building Permit <br /> Intake Comments: <br /> Surcharge ' 41 I� <br /> V14M <br /> Additional Plan Check PW Permit Application Submitted? Yes <br /> Plumbing Fee No_LLIA4 <br /> PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee SEE PW WORKSHEE I-returned to file <br /> Water Fee PW Permit Approved, PW Permit Not Required <br /> Sewer Fee <br /> Systems Dev.Fee FIRE DEPAR?MENT - . <br /> Traffic Mitigation Fee - Update/New Sprinklers Yes/ NO <br /> Existing Bldg. <br /> Public Works Fee Update/New Detection Yes <br /> School Mitigation Fee � No.-_ Existing Bldg. <br /> Update/New Chemical Yes No /Existing Bldg. <br /> Update/New Fire Servlc /Yeses!' No /Existing Bldg. / <br /> Approved by: � "'"� Date: ?-'Z Li-I S3 <br /> Comments: (� <br /> Fere cSG2q"Nk J`7�/_'"� E? <br />