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FOR OFFICE USE ONLY PERMIT# (' b 3� <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group - Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwe'mling Units: <br /> Basement No Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction — needed before final? Yes No_ <br /> Existing Sprinklersystem? Yes ✓ No Unk Pianning 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 Everett School Dist Mukilteo School Dist <br /> Enclosure Law Ap lies Yes #of Net New Units: <br /> Deferred Submittal Re ' Yes No Calculated School Impact Fee: <br /> Approved by: � Date: — - � School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> � Comments: <br /> ��Q.�' �'l �� 1`-� � <br /> Intake OK by: � <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: �.� Date: f/-7/ / G, <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 �Pu�- ra ic . - NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review separate green folder <br /> Ping Bidg 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 />