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• <br /> A <br /> • FOR OFFICE USE ONLY S PERMIT# 9)(L ,b ✓�% <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification M- 11 <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use War elno <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: , j�y,j, Date: 9 r z, 1'-7 <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: Li Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes No I <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: y 0 // �f� School Impact Fee Credit: <br /> Structural Approved By/Date: r j Total School Impact Fee Owed: <br /> Comments: Comments: <br /> yce_ re 111- 022D <br /> Intake OK by: Intake OK by: Ok to route Hold <br /> Make this a"W" Permit? Yes No <br /> P BLIC WORKS <br /> FEES INTAKE: Checked By: Date: S 261 <br /> Plan Check Fee Comments: WO �j,v fCrine_tpAzi `U��Qr <br /> Building Permit 1 V <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ErPublic Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent review(separate gre n fol er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: ':1 Date: <br /> Water Fee ❑ PW Permit Approved- PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee TPW 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 />