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FOR OFFICE USE ONLY PERMIT# P>/$OV--OR4 <br /> BUILDINGr `. ; PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No es_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No_ <br /> Existing Sprinkler System? Y-s_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required es No_ Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Req ' ed Yes_ No_ School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 F worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add'I R , 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Arc 'ectural Approved By/Date: L j"-,,3-I'lfir- School Impact Fee Credit: <br /> S uctural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: cet_ _ / sk pto <br /> ittp&dibri filetehy ,Opitete <br /> Intake OK by: Intake OK by: Ok to route _ Hold <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEEB INTAKE: Checked By.J Date. 2/Z0/26/$ <br /> Plan Check Fee Comments: Pw p�'ri�1 ' �y sire_pe f <br /> ' <br /> Building Permit B&/ ,nfY 7g- ,1Ceredd/ , S►fk,�� ,7' <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 ® Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent eview(separate gre fold r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: a <br /> Water Fee PW Permit Approved-PW/8'OZ O1&' <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/ Sprinklers Yes_ No_ Existing Bldg._ <br /> Update/New Det- '•n Yes_ No Existing Bldg._ <br /> Update/New Chemical Yes— No_ Existing Bldg. <br /> Update/New Fire Service Ye No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br />