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6W 110 1 -06 \ <br /> FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING <br /> BldgITl/Addn/Rem Size Zoning Classification – \ <br /> Garage Size Overlay/Agreement —'' <br /> VALUATION /0/ 000 Nonresidential Use <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) in / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ Nox <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: — / <br /> Reason Approved by: ( �� Date://1 / / t 1- <br /> Existing Fire Alarm Yes_ No Unk_ S t Zl '/Ill <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes_ No)c <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: dit Date;?/Z9/f7 School Impact Fee Credit: <br /> Comments: 2 c js A c Total School Impact Fee Owed: <br /> Comments: CC--11 -OV6-1-1'1 <br /> vJ It--\b\ - ©Q.)°\ <br /> . Intake OK by. � <br /> Intake OK by: '�_dr <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: X8 Date: i -S -I 7 <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(OT REQUIRE <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev.Fee 0 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 />