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• <br />� 11 I �I,,r,� <br />FOR OFFICE USE ONLY PERMIT # �`�� <br />BUILDWG <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 A lie Yes <br />Deferred Submitt Re YeS No <br />Approved by: Date: -� v — <br />Comments: <br />Intake OK by: <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 />1(� <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 />Intake OK by: <br />PUBLIC WORKS <br />INTAKE: Checked By: Date: <br />Intake Comments: <br />❑ Public Works / Sys Dev / Traffic Mitigation - NOT REQUIRED <br />❑ Route for Public Works Review (bldg folder, PW Worksheet) <br />❑ Public Works Permit-Concurrent Review (separate green fold <br />PW REVIEW: PW Reviewer: Date: <br />❑ PW Permit Approved - PW <br />❑ See PW Review Worksheet <br />❑ PW Permit Not Reauired <br />FIRE DEPARTMENT <br />ew Sprinklers IYes No Existi <br />Update/ New Detection Yes No Existi <br />Update/ New Chemical Yes No Existi <br />Update/ New Fire Service Yes No Existi <br />Approved by: Date: <br />ents: <br />