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� • \ �� <br /> FOR OFFICE USE ONLY PERM�T# �J �� � ''�� � <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 /> Occupancy Group Proposed No. of Dwelling Units: �� <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No J� <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved b 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 hool Dis Mukil ool Dist <br /> -�_ <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No Calculated School Impact Fee: <br /> Approved by: Date: School Impact Fee Credit: <br /> Comment�;: _ O ��. Total School Impact Fee Owed: <br /> I\ r <br /> V Comments: �� �,q 1� � <br /> ..� <br /> � S�� � � �� �� � <br /> G� Intake OK by: C <br /> Intake OK by: ` � � ��� <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: ' <br /> Plan Check Fee Intake Comments: <br /> Building Permit <br /> �pP���v.,f �o �^�f-lir�i �r �-ra l'�:c <br /> Surcharge COri7�roL %� �7EtZo�qp� <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mitigation- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bidg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review separate reen 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 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 /> �,�v <br />