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FOR OFFICE' �ISE O�iIL1� °ERM17# r) � ���J `���J�fi <br />, BUIL�IIdG - _' <br />BldglTl/Addn/Rem Size ' � <br />Garage Size <br />VALUATION <br />Number of Stories <br />Occupancy Group ' I <br />Occupant Load <br />Basement Yes No;�Fin/Unf <br />Type of Construction _ � <br />Existing Sprinkler System? Yes �✓ No Unk <br />Fire Sprinkler Required Yes ✓ No <br />Reason � � <br />Existing Fire Alarm Yes � No Unk <br />Fire Alarm Required Yes No <br />Reason � <br />Enclosure Law Appl'es Yes <br />Deferred Submittal ; eq Yes No <br />Approved by: �' Dat . , <br />Comments ` <br />fEES ' <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <br />PLi4iVNINC� <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />Proposed No., of Dweliing Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: <br />Approved by: Date: <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No <br />Everett School Dist Mukilteo School Dist <br /># of Net New Units: <br />Calculated School Impact Fee: <br />School Impact Fee Credit: <br />Total School Impact Fee Owed: <br />Comments: <br />�,lr,� ��'-����✓`�-�-G� <br />PUBLIC WtORKS ' _ <br />Intake Checked By: - Date: �- <br />Intake Comments: <br />�) ;� l�fw ;��r.�,c�,,�,�. N tTi" F��,�,lu I P.. �.D, <br />PW Permit Application Submitted? Yes No� <br />PW Worksheet Required? Yes No <br />PW REVIEW: PW Reviewer� Date: 9—���%� <br />SEE PW WORKSHEET-returned to file <br />PW Permit Approved, � PW Permit Not Required <br />FIRE DEPARTMENT. <br />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 />�,�L <br />