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FOR OFFICE USE ONLY PERMIT# hwo— oap- <br /> BUILDING <br /> PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size e - Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use OV <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: !Z— <br /> Basement No Yes— Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction IIEC 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: ��, Date: (]— , <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No X <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd. Yes No Calculated School Impact Fee: <br /> Approved by: Date: School Impact Fee Credit: <br /> Comments: / ,� Total School Impact Fee Owed: <br /> Comments: )LV q6-coq RP" Lr doeac <br /> 1 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 ❑ Public Works/Sys Dev/Traffic Mitigation- 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: r8 Date: 10-19-16 <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 />