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FOR OFFICE USE ONLY PERMIT# pi. <br /> (1 ,-0 <br /> -'S <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification V---Z <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use IN,/4).1'55 fatt <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> — <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 Y <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by: y.„, ,1 Date: t2.-5---1 1 <br /> Existing Fire Alarm Yes_ No—Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No__ School Mitigation Reqd? Yes No i. <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: 1 1� I, School Impact Fee Credit: <br /> '' <br /> Structural Approved By/Date: t I Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: ki� Ok to route .,T • <br /> Hold-ij�. <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: 1 - Date: iif5 � <br /> Comments: --F ' (>E._ I P/a/nrn I�gmt <br /> i <br /> Building Permit 4rti <br /> Plan Check Fee � t / 1 C <br /> ►L <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 gl Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate g een folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: AS1 Date: ��3 IS <br /> Water Fee 11/See <br /> Permit Approved- PW MI—003 <br /> Sewer Fee L�G"See PW Review Worksheet 4/q ihb 4t4t v*'araidee <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 /> teki 4 P a 717, , <br />