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FOR OFFICE USE ONLY PERMIT# �(7 O�' D3� <br /> � <br /> BUILDING � PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification �� <br /> Garage Size Overlay/Agreement <br /> VALUATION �� t O Nonresidential Use al L ( <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 Approved by: �, Date: — 2���� <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 /> intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS •. :, <br /> 'FEES INTAKE: Checked By: ""�`'�.IS Date: <br /> Plan Check Fee Comments: . <br /> Building Permit (�a� � <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Re i or RP <br /> Additional Plan Check � Public Works/Sys Dev/Traffic Mit./RPBA-N RE <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 ❑ 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 /> � <br />