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FOR OFFICE USE ONLY PERMIT# - ,L J `)1S <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification NkU� <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use sa\C\Ve �\ eSei Q <br /> Number of Stories Residential Use \ <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: CDate: "l (Td 1 <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Ap "lies Yes #of Net New Units: <br /> Deferred Submit:j Req'd Yes No Calculated School Impact Fee: <br /> i <br /> Approved by: i Date:'0 -3-1L" School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: <br /> • <br /> -N)\61M:s , 0..c),(keKka <br /> Intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mitigation-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee 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 />