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FOR OFFICE USE ONLY PERM�T# �1��1��b� <br /> BUILDING PLANNING , <br /> Bldg/TI/Addn/Rem Size r/Y ^ Zoning Classification � <br /> Garage Size N h OverlayiAgreement <br /> VALUATION �' !058 � Nonresidential Use <br /> Number of Stories N � 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 `� e�Rs.1't A:GZ~ needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No�C Phone#: <br /> Reason ---- Approved Date: 'f� � <br /> Existing Fire Alarm Yes No Unk Historic Approve 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 Submittai Req'd Yes No X Calculated School Impact Fee: <br /> Approved by: �✓�� Date: � �7 School Impact Fee Credit: <br /> Comments: �K 1'O .=tE,vE PE►��� Total School Impact Fee Owed: <br /> Su bswE `� 'Fw� l�t,.rit�w� Comments: N 2�� � f�7-�� ��-�C��V� <br /> JJ vv <br /> ���Lv <br /> " Intake OK by: <br /> Intake OK by: ��(,'� � <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> . _ <br /> Plan Gheck Fee Comments: <br /> Building Permit 1�" , "" ���''� <br /> Surcharge Hig Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanicai Fee ❑ Public Works Permit-Concurrent Review sepa te 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 /> y`��. <br /> �� <br /> ��" <br />