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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size pQ Zoning Classification <br /> Garage Size Overlay/Agreement (� <br /> VALUATION SEL Ul�� Nonresidential Use <br /> Number of Stories <br /> Occupancy Group <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction 11 � needed before final? Yes No <br /> Existing Sprinkler System? Yes No )0 Unk Planning Inspector: �xQ. Qua- <br /> Fire Sprinkler Required Yes_ No x Phone#: <br /> Reason E Mpou Approved by: Date: <br /> Existing Fire Alarm Yes No Unk_ Historic Approved by: 1J At Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No v <br /> Reason }CtSIA Aw (oNNlI,-M S 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: 1/-E-U t-PA L_ Date: 1. 1$• l7 School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> NSW (ewhhome af OtC ANN��I Comments: A EVA-kLD <br /> FOA_ aA Not-e v S e foo-.�Us� cRAM01 W N\(\ ems.&'�• s a� <br /> 41m,, jo G(h f -nixo v(f{�o U'�. ' I � c�`Q�°'dl m,fe ctukAec)ricN( <br /> Intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit a0p� <br /> oS/pQ•✓ <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 /> 12h1�' <br /> Water Fee PW Permit Approved-PW 1-jD1-01?, "w t- p <br /> Sewer Fee See PW Review Worksheet-Ije- Q �'iJo ��i��rr ae� <br /> Systems Dev. Fee ® ❑ PW Permit Not Required Qr I�u <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No X Existing Bldg. <br /> Update/New Detection Yes No Existing Bldg. X <br /> Update/New Chemical Yes No Existing Bldg. <br /> Update/New Fire Service, Y No Existing Bldg. <br /> Approved by: ---- Date: )—Z (— <br /> Comments: <br /> —Z —Comments: <br />