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FOR OFFICE USE ONLY PERMIT# C/W ��6���O� <br /> BUILDING PLANNING <br /> Bldg/TI/Add em ize � � Zoning Classification �� <br /> Garage Size Overlay/Agreement � —� �� <br /> VALUATION � �'' Nonresidential Use <br /> Number of Stories � Residential Use S <br /> Occupancy Group iQ Proposed No.of Dwelling Units: Lj 0 <br /> Occupant Load Total No.of Dwelling Units: S� <br /> Baserrrent No,;�Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No Y <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approv y: Date: �i �5 <br /> Existing Fire Alarm Yes No Unk Historic Approved by: ��— Date: r"T' <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No tL <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: � Schooi Impact Fee Credit: <br /> Comments: ���� /� � /�,�J�'� Total School Impact Fee Owed: <br /> v <br /> Comments: 1�/��i��Or12 <br /> ��,v�✓E lJ <br /> , ]�, Intake OK by: <br /> Intake OK by: �� <br /> PUBLIC WORKS <br /> FEES `: INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> _ <br /> Building Permit <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 /> 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 /> Systems Dev. Fee W Permit Not Required �s <br /> Traffic Mitigation Fee <br /> Public Works Fee �FIRE�DEP�4RTMENT� ��` <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 />