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FOR OFFICE USE ONLY PERMIT# J\ �v� lJ - �O� <br /> BUILDING PLANNING <br /> � I <br /> Bldg/TI/Addn/Rem Size Zoning Classification �� � � <br /> �are�e Size ;�'/��y�C �.A �/l Overlay/Agreement <br /> VALUATION "�.�i 1 S Nonresidential Use <br /> Number of Stories � Residential Use � '- �� <br /> Occupancy Group �r'l Proposed No. of Dwelling Units: <br /> �__. <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 A roved b ' Date: � <br /> PP Y� � �� ��... � � �' <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 6ee: <br /> Approved by: Date: �(- /� ' School Impact Fee Credi#: <br /> Comments: .�f j�� r/� � Total School Impact Fee Owed: <br /> � <br /> Comments ;� � � , , �� C��,`ti; a�-t�l�i�\ i', `, <br /> ;,� <br /> ��'��,,v`rA�i_y �� � � ,: �:t 1 ��`� �LC ��':`;��,� <br /> � � �� �� ��_, ♦� � a�� ,_� �`!� � . �� , <br /> . .�.'\. r .� � _ .. . ., _ . � <br /> 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 reen folder <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:�__Date: / - -�.� <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 /> 2I�j� <br />