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FOR OFFICE USE ONLY PERMIT# bf 7-o ZZ <br /> BUILDING PLANNING. <br /> Bldg/TI/Addn/Rem Size Zoning Classification 12-' (-- <br /> Garage Size Overlay/Agreement 0- j <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use fl 0 CAii fltPl ./ <br /> Occupancy Group Proposed No. of Dwelling Units: V <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 /> Reason Approved Date: J r 7- /9( <br /> Existing Fire Alarm Yes No_Unk Historic Approved by: Date=-r <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: 404r School Impact Fee Credit: <br /> Structural Approved By/Date: TO l 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 /> 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 ❑ 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 Review(separate gr en folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee �❑ See PW Review Worksheet�UfPr <br /> Systems Dev. Fee I�aa.PW Permit Not Required ;wr (k o-n tro-F <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE ©EPARTMEN <br /> School Mitigation Fee Update/New Sprinklers Yes_ ',o_ Existing Bldg.,_ <br /> Update/New Detection Y-:_ No_ Existing Bldg._ <br /> Update/New Chemica Yes No Existing Bldg. <br /> Update/New Fir: ervice Yes_ No_ Existing Bldg._ <br /> Approved .-. Date: <br /> Comm ts: <br /> �z� <br />