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FOR OFFICE USE ONLY PERMIT# ` � <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification ���-2 <br /> Garage Size v�� ��" Overlay/Agreement <br /> VALUATION ��j�� 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 X <br /> Existing Sprinklersystem? Yes No Unk Pianning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: }—, Date: — (o�� <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� School Impact Fee Credit: �' <br /> Comments: ��� ��� Total School Impact Fee Owed: <br /> Comments: <br /> � ?J S/� S✓��._�z�,..-� <br /> j?J --S�`� , r'�� Intake OK b . <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, nimals, Mortuary,etc-Review for RPBA) <br /> Additional Pian Check ❑ Public Works/Sys Dev/Tra ic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Revie bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurr nt Review separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: �/"�7� <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee r� 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 />