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• FO.r OFFICE USE ONLY • PERMIT# 1\,\ O \ 00( <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#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes_ No Unk Historic Approved by: Date: <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_ No_ J / Calculated School Impact Fee: <br /> Architectural Approved By/Date: / /ri bO School Impact Fee Credit: <br /> Structural Approved By/Date: Total School 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,Animals, Mortuary, etc-Review for RPBA) <br /> Additional Plan Check ❑ Public 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-Concurren eview(separate gr en older) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee PW Permit Approved- PW <br /> Sewer Fee ❑ S- PW Review Worksheet K 13OI-001 Gre • <br /> Systems Dev. Fee ❑ PW P- ( it 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 Sri e Ye — No / Existing Bldg. <br /> Approved by: Date: '3 <br /> Comments: �� <br />