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0 FOR OFFICE USE ONLY 0 PERMIT # /7I U - O 0 Z <br />BUILDING <br />PLANNING <br />Eld-Inl/Addn/Rem Size <br />6Z7S <br />Zoning Classifications <br />7i <br />Garage Size <br />S <br />Overlay/Agreement <br />VALUATION <br />Nonresidential Use <br />Number of Stories <br />C <br />Residential Use <br />ae <br />Occupancy Group <br />u P, <br />Proposed No. of Dwelling Units: j <br />Occupant Load <br />Total No. of Dwelling Units: <br />Basement <br />No Y <br />Yes <br />_ Fin / Unfin <br />Landscape or Planning Inspection <br />needed before final? Yes ZX_ No <br />Type of Construction <br />7ZE <br />Existing Sprinkler System? <br />Yes <br />No <br />Unk <br />Planning Inspector: <br />Fire Sprinkler Required <br />Yes <br />No <br />Phone #: <br />Reason <br />Approved by: Date: <br />Existing Fire Alarm <br />Yes <br />No <br />Unk <br />Historic Approved by: Date: <br />Fire Alarm Required <br />Yes <br />No <br />School Mitigation Reqd? Yes _ No <br />Reason <br />I <br />Everett School Dist Mukilteo School Dist <br />RCW 64.55 MF worksheet req'd for permit? <br />Yes No <br /># of Net New Units: o -- <br />6� <br />Add'I RCW 64.55 docs required prior to final? Yes No <br />Calculated School Impact Fee: <br />Architectural Approved By/Date: <br />t <br />School Impact Fee Credit: <br />Structural Approved By/Date: <br />Total School Impact Fee Owed: <br />Comments: Z j 5 � � <br />Intake OK by: C 1 <br />w S'"G <br />Comments: <br />Intake OK by: _C==e Ok to route <br />Hold <br />Make this a "W" Permit? Yes <br />No <br />PUBLIC WORKS <br />FEES <br />INTAKE: Checked By: y; Date: /0 <br />Comments: <br />High Hazard Sites (Dental/Medical, Animals, Mortuary, etc -Review for RPBA.) <br />❑ Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED <br />❑ Route for Public Works Review (bldg folder, PW Worksheet) <br />Public Works Permit -Concurrent Review (separate green folder) <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />PW REVIEW: PW Reviewer: Date: <br />PW Permit Approved - P <br />❑ See PW Review Worksheet <br />❑ PW Permit Not Required <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />