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FOR OFFICE USE ONLY PERMIT# (f''�(7(Z'6&( <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 <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> yC )'Z 1 <br /> Reason Approved b � Date: <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: rj As- 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: w, `2'i I1I 1� School Impact Fee Credit: <br /> Structural Approved By/Date: ' ` Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> FEEg INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortu, ,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./ ''`BA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bl•• folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent R-.'iew ara - green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: <br /> Water Fee 0 PW Permit Approved-P <br /> Sewer Fee 0 See PW Review Wor eet <br /> Systems Dev. Fee 0 PW Permit Not Re•4ired <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New S,.rinklers Yes_ No_ Existing Bldg._ <br /> Update/Ne Detection Yes_ No_ Existing Bldg. <br /> Update/ ,ew Chemical Yes_ No_ Existing Bldg. <br /> Updat- New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br />