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FOR OFFICE USE ONLY PERMIT # �' � �O%�� `�� � � <br />BUILDING <br />Bldg/TI/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 <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: „^. �;'� j�P� � i�� Date: ���' `� � <br />; <br />Comments <br />� �� � k � i:; i� � �� <br />��� .�llti (Ntp�Kl� Mh in�uf��4 <br />�,1� �DrPl 1���� <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 <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 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 />Intake Checked By: Date: <br />Intake Comments: <br />PW Permit Application Submitted? Yes No <br />PW Worksheet Required? Yes No <br />PW REVIEW: PW Reviewer: <br />SEE PW WORKSHEET-returned to file <br />PW PermitApproved, PW Permit Not <br />FIRE DEPARTMENT <br />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 F�re ervice Yes No Existing Bldg. _ <br />Approved by� °, �, -- Date: � - � u - �, <br />Comments: `— <br />J � �-= �-� -1- c �� --'t �,� (-� >�, , -�- <br />� ; � <br />..., �,. , }� 4,� Q" u ��t- �,i��. :: L�(J �� i�v�n • i— <br />l ���_ G�� ��Z`,� <br />2 J .� <br />