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• • � ��og,o��� <br />FOR OFFICE USE ONLY PERMIT # <br />BUILDING <br />Bldg/TI/Addn/ e� Size � ;� <br />Garage Size <br />VALUATION Z��'� <br />Number of Stories <br />Occupancy Group <br />Occupant Load <br />Basement Yes No Fin/Unf <br />T pe of Construction <br />Existing Sprinkler System? Yes No Unk <br />Fire Sprinkler Required Yes No <br />Reason <br />Existing Fire Alarm Yes No Unk <br />Fire Alarm Required Yes No <br />Reason <br />Enclosure Law Applies Yes <br />Deferred Submittal Req'd Yes No <br />Approved by: � Date: <br />Comments: Z�j� `�G <br />FEES ' <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Miti ation Fee <br />Public Works Fee <br />School Miti ation Fee <br />PLANNING <br />Zoning Classification �— <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use S �– <br />Proposed No. of Dwelling Units: --- <br />Total No. of Dwelling Units: � <br />Landscape or Planning Inspection <br />needed before final? Yes No� <br />Planning Inspector: <br />Phone #: <br />Approved by: Date: �� – � �D <br />Historic Approved by: Date: <br />School Miti ation Reqd? Yes No � <br />Everett School Dist Mukilteo School Dist <br /># of Net New Units: <br />Calculated School Impact Fee: <br />School Impact Fee Credit: <br />Total School Impact Fee Owed: <br />Comments: <br />PUBLIC WORKS <br />ntake Checked By: Date: <br />Intake Comments: <br />� �"� � ",,h�� r � <br />U <br />PW Permit Application Submitted? Yes No <br />PW Worksheet Reauired? Yes No <br />PW REVIEW: PW Reviewer: Date: <br />SEE PW WORKSHEET-returned to file <br />PW Permit Aporoved, PW Permit Not Reauired <br />FIRE-DEPARTMENT <br />Update/New Sprinklers Yes _ No _ Existin Bldg._ <br />Update/ New Detection Yes No Existin Bld . <br />Update/ New Chemical Yes _ No _ Existin Bldg. _ <br />Update/ New Fire Service Yes No Existing Bldg. _ <br />Approved b : Date: <br />Comments: <br />2 7/ <br />