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00 G <br /> FOR OFFICE USE ONLY PERMIT# l(� 12- <br /> BUILDING PLANNING <br /> Bldg I/Addn/Rem Size oZoning Classification ��J <br /> Garage Size Overlay/Agreement <br /> VALUATION O QQ Nonresidential Use <br /> Number of Stories Residential Use U S 1•C <br /> Occupancy Group 1 !.J Proposed No.of Dwelling Units: <br /> Occupant Load n/ b Total No.of Dwelling Units: <br /> .�i <br /> Basement No_ Yes_ Fin Unfin Landscape or Planning Inspection <br /> Type of Construction 'R needed before final? Yes No <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes )4 No 13 D Phone#: <br /> Reason Approved b Date: L <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 IYes No Calculated School Impact Fee: <br /> Approved by: Date:l (p 2b School Impact Fee Credit: <br /> Comments: �� _ w J.�^ ,k Total School Impact Fee Owed: <br /> A/F"'A J J �u/ Comments &t4>-t lauu- � <br /> Intake OK by:" )L <br /> 11 take OK by: <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: /.a <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. FeeM-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 />