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FO� OF�1C��1$� Ol�1LY PERMIT# <br /> ::;: <br /> :::� . ....._ : .::f, ,,.BUILDIpdG�::.. .... °' , ; <br /> .. ......:;;.. :. ..: ..... .. .. :.: ....._.: FLANT+III�IG�, . <br /> ...:.. ....... . ... ... ...... .. <br /> BldgiTl/Addn/Rem Sizs Zoning Classification � J <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Sfories Residential Use <br /> Occupancy Group Proposed No;of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction - needed be#'ore final? Yes� No_ <br /> Exis#ing Sprinkler System? Yes No Unk Planning Inspector: � <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by: Date: � � <br /> Existing Fire Alarm Yes No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes_ No <br /> Reason Evereft Schoo(Dist Mukilfeo School Dist <br /> Enclosure Law Applies Yes #of Net New Units <br /> Deferred Submi I Req'd Yes No <br /> Approved by: Dat . , � Calculated School lmpact Fee: <br /> Comments: Schoot Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments <br /> r : F�ES ' ` s;;: .P11B.�IC�AtORiES � . <br /> ..... ... .......:_.. .:.. .:.� ,...... .,..� ...,. �.. :..... ..�r: ..:.. ,� _ <br /> ..... -�..... ..: ...... :.:.` .., ......,. . ..... . ....._ .. .... :... .__.:� <br /> , <br /> Plan Check Fee Intake Checked By: Date: <br /> Building Permit Intake Comments: <br /> Surcharge <br /> Addifional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes o <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee SEE PW WORKSHEET-retur fo file � <br /> Water Fee PW Permif Approved, PW Permit Not Required <br /> Sewer Fee <br /> Systems Dev. Fee :w... .w.:_ ._.� ....::. ..._FI���E�PARTMfiNT..:.. .......: � <br /> Traffic Mitigation Fee Updafe/New Sprin[clers Yes No Existing Bldg._ <br /> Public Works Fee Update/New Detecfion Yes No Existing Bldg._ <br /> ' School Mitigafion Fee Update/New Chemical Yes No Existing Bldg._ <br /> Update/New Fire Service Yes No Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br />