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• FOR OFFICE USE ONLY • PERMIT# � lO l�^��� <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 No Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No <br /> Existingsprinklersystem? Yes No Unk Planninglnspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: 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: t��b 1�D�C lk Date: L(, J �I I� 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: J 2-z�-l(o <br /> Plan Check Fee Comme�t� �� ���� L�[?I"� G6� ��C,^L�.�� <br /> Building Permit f�� S�pGJ i��C� ��C <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 /> Plurnbing Fee � Route far Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review separate reen folder <br /> Pln� Bidg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee PW Per�rtit Approved-PW_��S yy��,/__._,�;;F„ <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required ��� ���J � � <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: � �V Date: % -L> r� <br /> Comments: <br /> � <br /> � �crC ,�._�cd�('-w1 ����a v�f-a `..� ���-�� . <br /> Z,�j � <br />