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FOR OFFICE USE ONLY PERMIT#$ 1$O3-CD I <br /> BUILDING ...PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification C. ^ZE S <br /> Garage Size Overlay/Agreement l ff <br /> VALUATION Nonresidential Use Y l G\-e-l <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 y <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by:(-1„ Date: /01 /zcJt <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: .3(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!RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: p, School Impact Fee Cres' . <br /> Structural Approved By/Date: 'V (8 Total School Impa ee 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 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 Review(separate gree f der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 P ermit Approved-PW <br /> Sewer Fee 0 See P Review Worksheet .1303--001 lip, <br /> Systems Dev. Fee 0 PW Permit Required r <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 />