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• � � � <br /> FOR OFFICE USE ONLY PERMIT# � ! � � � �✓✓�j <br /> BUILDING PLANNING <br /> Idg I/Addn/Rem Size f� � f� Zoning Classification �� 1 <br /> Garage Size �� Sf� Overlay/Agreement <br /> VALUATION (c.� ��� �L� � Nonresidential Use <br /> Number of Stories '� Residential Use �Q��„(� �j�� <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 Inspect9on <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: ��p�'(s� <br /> Approved by: Date; Z School Impact Fee Credit: �� <br /> Comments: ���� ��� � � r�I Total School Impact Fee Owed: q � <br /> l✓s' <br /> Comments: <br /> ' Intake OK by: <br /> intake OK by: �� <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: .�SJ ��"� Date: <br /> Plan Check Fee ��(y(, I 0 Comments: <br /> Building Permit (R'�D•!,� <br /> i <br /> Surcharge -b v High Hazard Sites(Dental,Medical,Animals,Mortuary,eto-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee (,SO •00 .�Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee Z(j •00 ❑ Public Works Permit-Concurrent Review separate green folder <br /> Ping Bldg Review Fee (�'�'•02 PW REVIEW: PW Reviewer: Date: _�• /��/ J <br /> Water Fee cjl�.Q6 PW Permit Approved-PW / ��� " �'� r <br /> Sewer Fee �-j� ❑ See PW Review Worksheet <br /> Systems Dev. Fee (Q '?.f) ❑ PW Permit Not Required <br /> Traffic Mitigation Fee --, <br /> Public Works Fee (u�� FIRE DEPARTMENT <br /> School Mitigation Fee ��J,00 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 Se ice Yes No Existing Bldg._ <br /> Approved by: �Q Date: <br /> Comments: <br /> � � <br />