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FOR OFFICE USE ONLY PERMIT# �1������� <br /> BUILDIN,G , PLANNING <br /> Bidg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement - <br /> VALUATION Nonresidential Use i <br /> Number of Stories Residential Use .--- <br /> Occupancy Group Proposed No.of Dwelling Units: ----�- <br /> Occupant Load Total No.of Dwelling Units: ��V <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: i—"�- <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved 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 Everett School Dist Mukilteo School Di <br /> Enclosure Law Applies Yes #of Net New Units <br /> Deferred Submittal Req'd Yes No Calculated School Imp ee: <br /> Approved by: Date: School Im ee Credit: <br /> Comments: chool Impact Fee Owed: <br /> Comments: <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 /> 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 ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE bEPARTMENT : <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 Bidg._ <br /> Approved by: Date: <br /> Comments: <br /> -.�,. <br /> � �� <br /> �z �. <br /> �. <br />