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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size /&0 ,S,/ l/e/ Zoning Classification _Z <br /> Garage Size Overlay/Agreement <br /> VALUATION `` Nonresidential Use N 0 °E <br /> Number of Stories Residential Use �5F /— <br /> Occupancy Group LA Proposed No. of Dwelling Units: A/ M E <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 2o needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: / <br /> Reason Approved ` 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 #of Net New Units: <br /> Deferred Submittal Req'd Yes_ No_ Calculated School Impact Fee: <br /> Approved by: sttDate:&4z/z School Impact Fee Credit: <br /> Comments: J � - Total School Impact Fee Owed: <br /> G Comments: <br /> Intake OK by: <br /> Intake OK by:� <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: 7–�L ZJ17 <br /> Plan Check Fee Comments: &WTA odd ed 1 <br /> Building Permit �, ""`uY'` <br /> Surcharge High Hazard Sites en al,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-Concur ent Review separate green folder <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: 2-e( <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ ee 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 />