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FOR OFFICE USE ONLY PERMIT# G 1�!4 I��� <br /> BUILDING PLANNING <br /> /��` a � _� <br /> Bldg/TUAd /Rem Size �/�/ Zoning Classification �.� <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 /> Existing Sprinkler System? Yes No Unk Planning InspeCtor: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date: �Z L�l, Z-�'�� <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 Sc ist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No Calculated School Impac ee: <br /> Approved by: Date: � School Impact Fee C dit: <br /> Comments: Total School Impact Fee Owed: <br /> ��,f � Comments: �C.� �,�j — Q1-� � <br /> V`�" <br /> �� Intake OK by: '�� 1� -j �(� <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: '— Date: <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: _Date: C:�—�� �� " <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 /> � <br />