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FOR OFFICE USE ONLY PERMIT# ( ) r-(Z- O L <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size4.'" ‘ Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 2O ZPI. Nonresidential Use <br /> Number of Stories 1 Residential Use <br /> Occupancy Group ii Proposed No.of Dwelling Units: <br /> Occupant Load l Total No.of Dwelling Units: <br /> Basement No_K 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: <br /> Fire Sprinkler Required Yes No X 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 AppliesYes_ #of Net New Units: <br /> Deferred Submittal Reqd Yes_ No Calculated School Impact Fee: <br /> Approved by: Date: � /( School Impact Fee Credit: <br /> Comments: I, � Total School Impact Fee Owed: <br /> Comments: <br /> �� <br /> 4hhfhC{ gfYOVa1 Y►df <br /> rMAG°Iergd.//WV/hill IOWsr . <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 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <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: / 3 Date: 7 14- / 7 <br /> Water Fee ikf PW Permit Approved-PW /642.—01 S <br /> Sewer Fee 0 See PW Review Worksheet k.., SSS tte c <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 />