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FOR OFFICE USE ONLY PERMIT# , , 02-10 <br /> BUILDING PLANNING '. <br /> BldgITl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use v ac_a.A\. <br /> Number of Stories Residential Use 4 to <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 'X <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by: e <br /> C -� Date: \\ l 2 6 '2-M1- <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: �A) A 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: �12� /4 School Impact Fee Credit: <br /> Structural Approved By/Date: ��"' ) Total School Impact Fe wed: <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 /> FEES. ! INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Ani. -Is,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/ .ffic Mit PBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Wor :"e 'e Idg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permi oneent eview(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: P 'eviewer Date: <br /> Water Fee 0 PW Perm' 'pproved-PW <br /> Sewer Fee 0 See P Review Worksheet <br /> Systems Dev. Fee 0 PW 'ermit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE'DI*PARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes No 1 Existing Bldg. 7- <br /> Update/ <br /> Update/New Detection Yes_ No 7Existing Bldg. / <br /> Update/New Chemical Yes_ No 7Existing Bldg. <br /> Update/New Fire Service Yes_ No //Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br />