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FOR OFFICE USE ONLY PERMIT#_A LO t ' <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size N Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories 7i Residential Use <br /> Occupancy Group l� - Z' 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 - needed before final? Yes Not/ <br /> Existing Sprinkler System? Yes No_�ZUnk Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approve Date: H/2-1 <br /> Existing Fire Alarm Yes Nol/ 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 4plies Yes #of Net New Units: <br /> Deferred Submit al Req'd Yes_ No V Calculated School Impact Fee: <br /> Approved by: Date:/�-, 5'-/ School Impact Fee Credit: <br /> Comments! Total School Impact Fee Owed: <br /> Comments: <br /> Intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: �y (' <br /> Building Permit hot <br /> " <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 I0 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 />