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FOR OFFICE USE ONLY PERMIT# G <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATI N Nonresidential Use <br /> Number of S ries Residential Use <br /> Occupancy Gro 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 /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required s No Phone#: <br /> Reason Approved by' Date: <br /> Existing Fire Alarm es No Unk Historic Ap rov d by: Date: <br /> Fire Alarm Required Yes No School Mitigation Regd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Appdies Yes #of Net New Units: <br /> Deferred Submitz, Req'd Yes N Calculated School Impact Fee: <br /> Approved by: D te: 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: /Da _ <br /> Plan Chec Fee Comment <br /> Building Per it <br /> Surcharge High Hazard Si es(Dental, Medical, ,etc-Review for RPBA) <br /> Additional Plan heck ❑ Public Wor s/Sys Dev/Tra -NOT REQUIRED <br /> Plumbing Fee ❑ Route for Pu lic Works RevieW Worksheet) <br /> Mechanical Fee ❑ Public Works ermit-Concurrarate green folder <br /> Ping Bldg Review Fee <br /> PW REVIEW: PW eviewer: Date: <br /> Water Fee ❑ PW Permit Appr ved-P <br /> Sewer Fee ❑ See PW Review or heet <br /> Systems Dev. Fee ❑ PW Permit Not Re fired <br /> Traffic Mitigation Fee <br /> Public Works Fee F14 DEPARTMENT <br /> School Mitigation Fee Update/New Sp inklers es No Existing Bldg._ <br /> Update/New etection Ye No Existing Bldg. <br /> Update/N Chemical Yes No Existing Bldg. <br /> UpdatePliew Fire Service Yes No Existing Bldg. <br /> Approved by: Date: <br /> Comments: \ <br /> � 1 <br />