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II FOR OFFICE USE ONLY S PERMIT# rYiigp2-dp( <br /> BUILDING 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 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#: J <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Req? Yes No <br /> Reason Everett School Diyt Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No_ #of Net New Uryits: <br /> Add'I RCW 64.55 docs required prior to final?Yes No Calculated Syfiool Impact Fee: <br /> Architectural Approved By/Date: School Impact Fee Credit: <br /> Structural Approved By/Date: 4iiii3 <br /> Total Sc ool Impact Fee Owed: <br /> Comments: Comments: <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,Animats,/Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Trafd Mit. /RPBA- NOT REQUIRED <br /> Plumbing Fee ElRoute foil-Public Works Reyiew(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee ❑ PW Permit Approv d-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Ngt"Required <br /> Traffic Mitigation Fee <br /> Public Works Fee ;/ FIRE DEPARTMENT <br /> School Mitigation Fee Update/N Sprinklers Yes No Existing Bldg. <br /> Updat / ew 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: r <br /> C,...---- <br /> / <br />