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FOR OFFICE USE ONLY PERnnir #� ����� �� �� � <br />BUILDING <br />Bld / Addn/Rem Size (� � � <br />Garage Size <br />VALUATION <br />Number of Stories � <br />Occupancy Group � <br />Occupant Load <br />Basement Yes No Fin/Unf <br />Type of Construction _j <br />Existing Sprinkler System? Yes NO � Unk <br />Fire Sprinkler Required Yes No <br />Reason <br />Existing Fire Alarm Yes No Unk v <br />Fire Alarm Required Yes No <br />Reason <br />Enclosure Law Appli s Yes <br />Deferred Submittal q'd Yes No/ <br />Approved by: Date: - b <br />Comment <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 Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <br />PLANNING <br />Zoning Classification y � <br />Overlay/Agreement -�� <br />Nonresidential Use ` <br />Residential Use - <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: �� <br />Historic Approved by: Date: <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: �`' , {�j � J �,��,�,� � �� ,� (} <br />`'�'� �Y` v vv.,�- <br />�� ���� <br />PUBLIC WORKS <br />Intake Checked By: Date: — <br />Intake Comments: �,.'� �' I�CJ�/�'�-� <br />� .,�'�-��-- G��� ��,{,� , <br />PW Permit Application Submitted? Yes No X <br />PW Worksheet Required? Yes No � <br />P REVIEW: PW Reviewer: �. Date: � � <br />1{} SEE PW WORKSHEET-returned to file <br />PW Permit Approved. �PW Permit Not Reauired <br />FIRE DEPARTMENT <br />Update/New Sprinklers Yes No Existing Bldg._ <br />Update/ New Detection Yes No Existing Bidg. _ <br />Update/ New Chemical Yes No Existing Bldg. _ <br />Update/ New Fire rvic Yes No Existing Bldg. _ <br />Approved by: �/ - Date: � � � - <br />Comments: <br />�I � <br />