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FOR OFFICE USE ONLY PERMIT# 1/, 1'O 9l <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION %% 74 WV 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_ Yesc Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction gE needed before final? Yes No Nk <br /> Existing Sprinkler System? Yes— No—Link_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No— Phone#: <br /> Reason Approved by: Date: �-(2N <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 /> RCW 64.55 MF worksheet req'd for permit? Yes_ No #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: 7/2s/`9- School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Z.49/6- /A.0 Comments: <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: 8 Date: 7-24-17 <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 ,g Public Work it-4-RPIINOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee <br /> 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 ► 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 />