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FOR OFFICE USE ONLY PERMIT 1l 3c 'OHO <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification ��, <br /> Garage Size Overlay/Agreement <br /> VALUATION 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 Fin / Unfin Landscape or Planning Inspection �/ <br /> Type of Construction needed before final? Yes No 1� <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by:C, Date: I c /Zai <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: rJ (Ar 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 Feey��y <br /> Architectural Approved By/Date: ` School Impact Fee Cre <br /> Structural Approved By/Date: !' � I `j Total School Impact Fee Owed: <br /> Comments: Comments: S6 AMP <br /> Intake OK by: Intake OK by: Ok to route _ Hold <br /> Make this a"W" Permit? Yes_ No <br /> PUBLIC WORKS <br /> FytE$. ,) INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(D ical,Anim.<' Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/S Dev/Traffi• Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Rev,-w(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concu:ent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Revie -r: Date: <br /> Water Fee 0 PW Permit Approve: -PW <br /> Sewer Fee 0 See PW Review-% orksheet <br /> Systems Dev. Fee 0 PW Permit N.:'Required <br /> Traffic Mitigation Fee <br /> Public Works FeeE <br /> IzIRL DEPARTMENT <br /> School Mitigation Fee Update/N- Sprinklers Yes_ No_ Existing Bldg. <br /> Update/ ew Detection Yes_ No_ Existing Bldg._ <br /> Upda -/New Chemical Yes_ No_ Existing Bldg. <br /> Up.-te/New Fire Service Yes_ No_ Existing Bldg._ <br /> A.proved by: Date: <br /> Comments: <br /> P <br />