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FOR OFFICE USE ONLY PERMIT# 11 ? `'i' �� <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <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 No Yes Fin / Unfin 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 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 Calculated School Impact Fee: <br /> Approved by: (\t\A Date: a/ I / 17 School Impact Fee Credit: <br /> Comments: / Total School Impact Fee Owed: <br /> Comments: <br /> rD' ,ti . 01,nJimgov -I <br /> Intake OK by: 1 , <br /> Intake OK by: <br /> _ PUBLIC WORKS <br /> FEES INTAKE: Checked By: Add60— Date: <br /> Plan Check Fee Comments: �(/ �41/I dfl77 <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 TedfRoute for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review FeeW REVIEW: PW Reviewer: 7j1-- Date: /-3/-2(/— <br /> Water Fee aPermit Approved-PW <br /> Sewer Fee 0 See P eview Worksheet K I W/"o jnY -s&e, <br /> NaTes <br /> Systems Dev. Fee 0 PW Permit Required &It CAM& Up s, ov(ft196 <br /> Traffic Mitigation Fee �+ � � <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes )( No A! Existing Bldg. <br /> Update/New Detection Yes No X Existing Bldg. <br /> Update/New Chemical Yes No )C Existing Bldg. <br /> Update/New Fire Service Yes,. 2( No i,.:::-.-/Existing Bldg. <br /> Approved by: �,. Date: /—Z—.. —/7 <br /> Comments: / <br />