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FOR OFFICE USE ONLY PERMIT # U \��o <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />i <br />Garage Size <br />VALUATION <br />Number of Stories <br />n <br />Occupancy Group <br />Occupant Load <br />Basement <br />No'S Yes Fin / Unfin <br />Type of Construction <br />Existing Sprinkler System? <br />Yes ✓ No _ Unk_ <br />Fire Sprinkler Required <br />Yes _L1 No_ <br />Reason <br />1U <br />Existing Fire Alarm <br />Yes X/ No Unk <br />Fire Alarm Required <br />Yes kNo <br />Reason <br />Enclosure Law Appols <br />Yes _ <br />Deferred Submitt RegId <br />Yes No Z <br />Approved by: IvA, Date: <br />Comments• <br />Intake OK by: <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <br />FG <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: <br />Approved by: Date: <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No <br />Everett School Dist Mukilteo School Dist <br /># of Net New Units: <br />Calculated School Impact Fee: <br />School Impact Fee Credit: <br />Total School Impact Fee Owed: <br />Comments: <br />/70 <br />Intake OK by: <br />UBLIC WORKS <br />INTAKE: Checked By: Date:(— <br />High Hazard Sites (Dental, Medical, Animals, Mortuary, etc -Review for RPBA) <br />Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED <br />❑ Route for Public Works Review (bldg folder, PW Worksheet) <br />❑ Public Works Permit -Concurrent Review (separate green folder) <br />PW REVIEW: PW Reviewer:+Date: <br />❑ PW Permit Approved - PW_ <br />❑ See PW Review Worksheety/ 4 <br />ErPW Permit Not Required <br />FIRE <br />DEPARTMENT, <br />Update/New Sprinklers <br />Yes <br />No Existing Bldg._ <br />Update/ New Detection <br />Yes <br />No Existing Bldg. _ <br />Update/ New Chemical <br />Yes <br />No Existing Bldg. _ <br />Update/ New Fire Service <br />Yes <br />No Existing Bldg. _ <br />Approved by: <br />Date: <br />Comments: <br />Lqa <br />