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FOR OFFICE USE ONLY PERMIT# 0 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size G Zoning Classificationf3 ' <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use �i del <br /> Number of Stories N� Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Z / Total No.of Dwelling Units: <br /> Basement No_ Yes_ Fin / U n fi n Landscape or Planning Ins ection <br /> Type of Construction /L needed before final? /Yes_ No <br /> Existing Sprinkler System? Yes No [i Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No_� Phone#: <br /> Reason Approved by: Date: - w <br /> Existing Fire Alarm Yes No Unk Historic Approve by: Date: <br /> Fire Alarm Required Yes No School Mitigati n Reqd? Yes_ No K <br /> Reason Everett Scho I Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net Ne4 Units: <br /> Deferred Submittj ReAd Yes_ No_ Calculated School Impact Fee: <br /> Approved by: 4 Ik Date: School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: <br /> Intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: Ij _/ — <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: A2B Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ 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 /> 2 <br />