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� FOR OFFICE USE ONLY <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />Number of Stories <br />Occupancy Group <br />Occupant Load <br />Basement Yes No Fin/Unf <br />Type of Construction <br />Existing Sprinkler System? Yes No Unk <br />Fire Sprinkler Required Yes No <br />Reason <br />Existing Fire Alarm Yes No Unk <br />Fire Alarm Required Yes No <br />Reason <br />Enclosure Law Applies Yes <br />Deferred Submittal Req'd Yes No <br />Approved by: i}(` Date: � (p <br />Comments: <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bidg Review Fee <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <br />��_= = <br />�-- -�_ .-_- � / <br />�-- •���:•3 <br />�;; _-_:=.-�::.: <br />�-� _- -�. <br />� � -� <br />PLANNING <br />Zoning Classification � <br />Overlay/Agreement <br />Nonresidential Use C, <br />Residential Use <br />Proposed No. of Dwelling Units: � <br />Total No. of Dwelling Units: �— <br />Landscape or Planning Inspection ___ <br />needed before final? Yes No <br />Planning Inspector: � <br />Phone #: <br />Approved b : Date: > ( <br />Historic Approved by: --- - Date: <br />School Mitigation Reqd? Yes No ' <br />Everett School Dis Mukilteo S ol Dist <br /># of Net New Unis. � <br />Calculated School Impact Fee: <br />School Impact Fee Credit: <br />Total School Impact Fee Owed: <br />Comments: <br />1�1�1�--- <br />PUBLIC WORKS <br />Intake Checked By: Date: <br />Intake Comments: <br />PW Permit Application Submitted? Yes No <br />PW Worksheet Reauired? Yes No <br />PW REVIEW: PW Reviewer: Date: <br />SEE PW WORKSHEET-returned to file <br />PW Permit Approved, PW Permit Not Required <br />FIRE DEPARTMENT <br />Update/New Sprinklers Yes No Existin <br />Update/ New Detection Yes No Existin <br />Update/ New Chemical Yes No Existin <br />Update/ New Fire Service �Yes No Existin <br />Approved by: Date: <br />Comments: <br />