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CJ <br />FOR OFFICE USE ONLY <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 />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: � L; 1. <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 />Traffic Miti ation Fee <br />Public Works Fee <br />School Mitigation Fee <br />� <br />PERMIT# �Y �(� b'��� <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 Schooi 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: Date: <br />SEE PW WORKSHEET-returned to file <br />PW Permit Approved, PW Permit Not Required <br />FIRE DEPARTMENT <br />ate/New Sprinklers Yes No Existin B <br />ate/ New Detection Yes No Existin B <br />ate/ New Chemical Yes No Existin B <br />ate/ New Fire Service Yes No Existing B <br />rnva�i hv' DatO: <br />omments: <br />