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FOR O� <br />BUILDING <br />Bidg/TI/Addn/Rem Size <br />Garage Size <br />VALUATION % J �U� <br />Number of Stories <br />Occupancy Group � �Z <br />Occupant Load <br />Basement Yes � No Fin/Unf <br />Type of Construction �� <br />Existing Sprinkler System? Yes No 1� 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 Sub `ittal Re 'd Yes No <br />Approved Date: � ` - � <br />Comme s� <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 />=Fl� <br />CEUSEONLY PERMIT# C✓l�.('d�U'��`► <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 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 />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 DEPAR3MENT <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 Fire Service Yes No Existing Bldg. _ <br />Approved by: Date: <br />Comments: <br />LfZ <br />