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BUILDING <br />BldglTl/Addn/Rem Size <br />Garage Size <br />VALUATION <br />Number of Stories <br />Occupancv Group <br />Occupant Load <br />Basement Yes No Fin/ <br />Type of Construction <br />Existing Sprinkler System? Yes No U <br />Fire Sprinkler Required Yes No <br />Reason <br />Existing Fire Alarm Yes No U <br />Fire Alarm Required Yes No <br />Reason <br />Enclosure Law A�pfies Yes <br />Deferred Submi l eq'd Yes No , <br />Comments:�% <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 />Traf(ic.Mitigation Fee <br />Public Works Fee <br />School Mitigafion Fee <br />f=DR C��FIG� US� Oi�lC.Y� <br />� PLANNING <br />Zoning Classification — � <br />OverlaylAgreement <br />Nonresidential Use J C..�,o 0, <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Unifs: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: <br />Approved by_ Date: <br />Historic Approved by_ Dafe; <br />School Mitigation 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 />_,.... <br />PUBLIG WORKS <br />Intake Checked By_ Date: <br />Intake Comments: <br />PW Permit Application Submitted? Yes No <br />PW Worksheet Required2 Yes No <br />PW REVIEW: PW Reviewer: Date: <br />SEE PW WORKSHEET-returned fo file <br />PW Permit Approved, PW Permit Not Required <br />PEE2Mll' # <br />�� <br />..., ... ....::....._,.....__.. , . <br />FIRE DEPARTMENT, .. <br />Update/New Sprinklers Yes No Existing Bidg._ <br />Update/ New Detection Yes No Existing Bldg. � <br />Update/ New Chemical Yes No Existing Bldg. _ <br />Update/ New Fire Service Yes No Exisfing Bldg. __ <br />Aoaroved bv: Date: <br />Comments: <br />