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FOR OFFICE USE ONLY PERMIT# � � ���� <br /> BUILDING PLANNING <br /> Bldg/TI/�C� em Size �'z, „�� Zoning Classification �� <br /> Garage Size Overlay/Agreement <br /> VALUATION Z`��v Nonresidential Use <br /> Number of Stories � Residential Use Q�d(�� �— <br /> Occupancy Group Proposed No. of Dwelling Units: —'f <br /> Occupant Load Total No.of Dwelling Units: ` <br /> Basement No Yes Fin / Unfin Landscape or Plar.ning 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: ( ��b' �� <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: Date:��J�i /7 School Impact Fee Credit: <br /> Comments: Z�`S��� � ��j�� Total School Impact Fee Owed: / <br /> Comments: <br /> Intake OK by: f�� <br /> intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: � " - <br /> Comments: ���, � � 5�,� "Ji '�^-�,��' <br /> Plan Check Fee (il t�,�.�' trL(:1� �,�( � <br /> Building Permit �^��.'"�t r ������ �`��'��JU'LLC�L7� <br /> �.`` � <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 reen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: - - Date: �� �-t3 � <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 />