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FOR OFFICE USE ONLY PERMIT# Z� (:)3g <br /> BUILDING <br /> .. .� PLANNING .`. <br /> Bldg/Tl/Addn/Rem Size Zoning Classification F- 3 <br /> Garage Size Overlay/Agreement <br /> ® ---" <br /> VALUATION / LX 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 F' / Unfin Landscape or Planning Inspection <br /> Type of Construction v-r0 needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ N• _ Phone#: <br /> Reason Approved by.'a Date: ZZ-/ <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: Date: l <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes— No_ <br /> Reason Everett School Dist Mukilteo Sc••= •ist <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 Sch.• mpact Fee: <br /> Architectural Approved By/Date: G13a' foZ,dite Scho• pact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: iiM0cy� Comments: <br /> Intake OK03/L"Z/2-048 Intake OK by: Okto route _ Hold <br /> Make this a"W"Permit? Yes No <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 <br /> � � <br /> Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: /y> Date: 9/2-2 <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee El PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee TIRE 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 ,/fxisting Bldg. <br /> Update/New Fire Service Yes— No Existing Bldg. <br /> Approved by:c)__ J i ; Date:3-21-I <br /> Comments: <br />