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FOR OFFICE USE ONLY PERMIT #� 2�D <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />3LQ0100 <br />Number of Stories <br />Occupancy Group <br />Occupant Load <br />Basement <br />No Yes Fin, / Unfin <br />Type of Construction <br />Existing Sprinkler System? <br />Yes No Unk <br />Fire Sprinkler Required <br />Yes No <br />Reason <br />Existing Fire Alarm <br />Yes No Unk <br />Fire Alarm Required <br />Yes No <br />Reason <br />Enclosure Law Applies <br />Yes <br />Deferred Submittal Req'd <br />Yes No <br />Approved by: Date: <br />Comments:` ,f2G 01'�C <br />7 <br />aj//h/ <br />Intake OK by: .�t <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 />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 Date: <br />Historic App oved by: Date: <br />School Mitigation Reqd? Yes _ No <br />Everett School Dist Mukilteo Sc s <br /># of Net New Units: <br />Calculated Sch pact Fee: <br />Schoo pact Fee Credit: <br />otal School Impact Flee Owed: <br />Comments: �\ lh _ �-��• <br />Intake OK b . <br />PUBLIC 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-Concur(ent Review (separate grgen folder) <br />PW REVIEW: PW Reviewer:sdt�,ff _Date:]�(Wpll <br />❑ PW Permit Approved - PW <br />y❑ See PW Review Worksheet <br />K51 PW Permit Not Required NO FW �1 � <br />FIRE,DEPARTMEN,T <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 />