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x(01(1 t‘4 L51OA <br /> FOR OFFICE USE ONLY PERMIT# e,/W,v (70.3--00 <br /> i ita.eQ r01. 17/72.i ZIA( p lrztfk S ' <br /> BUILDING <br /> PLANNWG <br /> BIdg/Tl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> p O ( k / )VALUATION pV $e 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 . Date:6,/nU0 iza� - <br /> Existing Fire Alarm Yes No_Unk Historic Approved by: Date: <br /> d <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_ NoCalculated School Impact Fee: <br /> ' <br /> Architectural Approved By/Date: (p(-71/7 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: L \ O'3`dc <br /> a GP <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> BLIC WORKS <br /> FEES INTAKE: Checked By: Date: .CQ6ifjg" <br /> Plan Check Fee Comments: l <br /> Building Permit ..4Jairrit M/4 <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check Public Works I 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 evie (separate gree fo er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer. Date: e <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee PW Permit Not Required <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 />