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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING <br /> ,, __ <br /> BIdg/TllAddn/Rem Size Zoning Classification "� <br /> Garage Size OverlaylAgreement - <br /> VALUATION Nonresidential Use �ti(,(� �( <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 /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approve y: Date: t� � <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: Date: School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: <br /> �--P� �� - i��� <br /> Intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES ' INTAKE: Checked By:�� Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surchar'ge 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 /> Plumbing Fee Route for Public Works Review(bldg 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 /> Sysfems 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 />