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FOR OFFICE USE ONLY PERMIT#G <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupanc' Group Proposed No.of Dwelling Units: <br /> Occupant 1­0�0 Total No. of Dwelling Units: <br /> Basement No YeAl Fin / Unfin Landscape or Planning Inspection <br /> Type of Construc ion needed before final? Yes No <br /> Existing Sprinkler Sy tem? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Requi d Ye No Phone#: <br /> Reason Approved <br /> Existing Fire Alarm Yes No Unk Historic Appr ved by: Date: <br /> Fire Alarm Required es No School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Ap ies Yes #of Net New Units: <br /> Deferred Submitt Req'd Yes ANo Calculated School Impact Fee: <br /> Approved by: ate: 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: <br /> Building rmit <br /> Surcharge High Haza Sites(Dental, Medical,Animals, Mortu etc-Review for RPBA) <br /> Additional PlanNeck El Public ks/Sys Dev/Traffic Mit./RP A-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Pu lic Works Review(bldg f der, PW Worksheet) <br /> Mechanical Fee ❑ Public Works P mit-Concurrent Re iew separate green folder <br /> Ping Bldg Review Fee PW REVIEW: PW Re 'ewer: Date: <br /> Water Fee ❑ PW Permit Approved- W <br /> Sewer Fee ❑ See PW Review Worksh t <br /> Systems Dev. F ❑ PW Permit Not Required <br /> Traffic Mitigatio Fee <br /> Public Works ee F E DEP A TMENT <br /> School Miti tion Fee Update/New Sprinklers Yes Existing Bldg._ <br /> Update/New Detecti Yes NoV Existing Bldg._ <br /> Update/New Chem' al Yes No Existing Bldg. <br /> Update/New Fire Xervice Yes No sting Bldg._ <br /> Approved by: Date. <br /> Comments: <br /> 3�� <br />