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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING <br /> Bldg/T1/0/Rem Size /Y.J J2< Zoning Classification —1 <br /> Garage Size Overlay/Agreement <br /> VALUATION /� /Zb Nonresidential Use <br /> Number of Stories / Residential Use Q JSP-a{ g <br /> Proposed No.of Dwelling Group � p Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No, Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction aZ needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes_ No—Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: \L "_-1v Date: \-- <br /> Existing <br /> Existing Fire Alarm Yes_ No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No X <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes_ #of Net New Units: <br /> Deferred Submittal Re 'd Yes No ' Calculated School Impact Fee: <br /> Approved by: Date:Z/07/�7 School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: <br /> - 1 �- <br /> Intake OK by: <br /> Intake OK by: II " 25 <br /> PUBLIC WORKS.. <br /> FEES- INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: )27 Date: /"25 1 7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee , PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg. <br /> Update/New Detection Yes_ No Existing Bldg. <br /> Update/New Chemical Yes_ No_ Existing Bldg. <br /> Update/New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br />