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FOR OFFICE USE ONLY <br />BUILDING <br />Bidg/TI/Addn/Rem Size <br />Garage Size � � <br />VALUATION ZOp <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: Date: s 'Z�S ( <br />Comments: Z��Z ��G <br />�; k� I��d i�-I,r+,Ye� <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 />RMIT # � � ��(� O� � (_J �J� <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 />Approve y: � 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: <br />UBLIC WORKS <br />Intake Checked By: '�'� Date: �{—�'•� � Z(�/� <br />Intake Comments: N� Pi,Z} �rtiC��'t� <br />PW Permit Application Submitted? Yes No� <br />PW Worksheet Required? Yes No %C <br />PW REVIEW: PW Reviewer: .� �. Date: y'-� �—ZC.''%6 <br />SEE PW WORKSHEET-returned to file <br />PW Permit Approved, _� PW Permit Not Required <br />FIRE DEPARTMENT <br />Fire Sprinkler Required? Yes No <br />Fire Alarm Required? Yes No <br />APPROVAL TO ISSUE PERMITS: Yes No <br />SEE FIRE WORKSHEET-returned to file <br />Fire Reviewer: Date Reviewed: <br />Reviewed Under Permit Type/#: <br />Z� � <br />