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FOR OFFICE USE ONLY PERMIT# ��I9!(�D 77 g <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size �/j Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group -hj Proposed No.of Dwelling Units: <br /> Occupant Load � Total No. of Dwelling Units: <br /> Basement No Yes �v} in / 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: <br /> Existing Fire Alarm Yes � No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes � No School Mitigation Reqd? Yes No <br /> Reason L= �C Everett School Dist Mukilteo School Dist <br /> Enclosure Law Ap lies Yes #of Net New Units: <br /> Deferred submitt Req'd Yes No Calculated School Impact Fee: <br /> Approved by: Date� - Schooi Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: / <br /> il/v �/�, �,�� <br /> Intake OK by: <br /> Intake OK by: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By:��_, Date: //—Z%/ <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 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 UpdatelNew 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 />