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FOR OFFICE USE OIVLY PERMIT# -�� `� <br /> BUILDING PLANNING <br /> Bidg/TI/Addn/Rem Size Zoning Ciassification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No_ <br /> ExistingSprinklerSystem? Yes No Unk Planninglnspector: <br /> Fire Sprinkler Required Yes Na 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_ <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: (�1�k Date: �L•`q•,(� Schooi 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: �,f" Date: %2��/.6 <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Pian 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 Bidg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee PW Rt�ti#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 �r Existing Bldg._ <br /> Approved by:�'>r�__ �,�— Date: ;�� ; /; <br /> Comments: ' � <br /> {1-� ^ <br /> r-i� <br />