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FOR OFFICE USE ONLY PERMIT# O V <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION ov U Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load 0 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 Approved by: Date: <br /> Existing Fire Alarm Yes o 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 App 19)3 Yes #of Net New Units: <br /> Deferred Submittal q'd Yes_ No_ Calculated School Impact Fee: <br /> Approved by: Date: - School Impact Fee Credit: <br /> Comments:_ Total School Impact Fee Owed: <br /> Comments: I •1 <br /> 110 KeUrcA ' ►' <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 [PW <br /> ublic Works Permit-Concurrent Review separate green folder <br /> Ping Bldg Review Fee REVIEW: PW Reviewer: Date: <br /> Water Fee W Permit Approved-PW <br /> SewerFee ee PW Review Worksheet <br /> Systems Dev. Fee W Permit Not Required �Q <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 />