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FOR OFFICE USE ONLY PERMIT#Cw <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size ���KZoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION ! �QNonresidential Use <br /> ,u,�t <br /> Number of Stories '� 13N.*X" 9'4� Residential Use <br /> Occupancy Group /— Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No Yeses Fin / Unfin Landscape or Planning inspection <br /> Type of Construction LT 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: L. 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 School Dist <br /> Enclosure Law Applies Yes 0 #of Net New Units: <br /> Deferred Submittal Req'd I Yes_ No_ Calculated School Impact Fee: <br /> Approved by: Date: r0 School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: <br /> �/�L <br /> Intake OK by: hL— <br /> Intake OK by: —7WL— <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review separate green 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 /> 2 7/ <br />