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FOR OFFICE USE ONLY PERMIT# Y?)d1-1 -0a3 <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 /> Reason Approved by: )/-4c,..) Date: It')0-!c‘ <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: -- Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No X <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: 4- '?/d'/i •C School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: to .(24(Dc" fes, <br /> 6 QV! L7 er mee "_ a5 fu/a' '!K^ti5 f2`r`:V. <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,Anima.,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffi' it./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Rev--w(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Conc ent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Revi- er: Date: <br /> Water Fee 0 PW Permit Appro -d-PW <br /> Sewer Fee 0 See PW Revie Worksheet <br /> Systems Dev. Fee 0 PW Permit •t Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE'DEPARTMENT <br /> School Mitigation Fee Update/ -w Sprinklers Yes— No_ Existing Bldg._ <br /> Updat: New Detection Yes_ No Existing Bldg._ <br /> Upd.. e/New Chemical Yes_ No_ Existing Bldg. <br /> U••ate/New Fire Service Yes_ No_ Existing Bldg. <br /> Approved by: Date: <br /> Comments: �� <br />