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FOR OFFICE USE ONLY PERMIT# l �� <br /> BUILDINGPLANNING <br /> Bldg/TI/Addn/ em Siz I =t'? Zoning Classification <br /> Garage Size //-- Overlay/Agreement <br /> VALUATION 4C� r Nonresidential Use <br /> Number of Stories `� Residential Use S <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 )S needed before final? Yes No <br /> i <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No 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 Scho¢I C3if-r <br /> r <br /> Enclosure Law Applies Yes_ #of Net New Units: f <br /> Deferred Submittal Req'd Yes No Calculated School ImpactFd'e <br /> Approved by: L�-�— Date: / : School Impact Fee Cr it: <br /> Comments: 1-7 Total School Impact Fee Owed: <br /> l Comments: <br /> Intake OK by: <br /> 11 take OK by: C� <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 Plan Check ❑ Public Works/Sys Dev/Tra Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Revie (bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurren Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 108 Date: //- /7` <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 />