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FOR OFFICE USE ONLY PERMIT# fid/ OT o®' <br /> = BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification " NVA. <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> • <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: Date:--YI Z 12-0 <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: /3 I Ar Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukiiteo 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: , School Impact Fee Credit: <br /> Structural Approved By/Date: -111(11 Total School Impact Fee Owed: <br /> Comments: Comments: <br /> cOLkcce-S " c\c` CQS 4\/‘‘A&" bQ sMe.c <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 pteview(separate gre fo er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer_541 E- Date: 2 26/ <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet 17',p OK -af Pel <br /> Systems Dev. Fee PW Permit Not Required No Q .>? I _iin1t1r /1EFt <br /> Traffic Mitigation Fee - - D601.49- <br /> Public <br /> fir .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 />