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• FOR OFFICE USE ONLY • PERMIT# k 0 -OH I <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: r <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: / Date: <br /> / <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: ' Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Ye No <br /> Reason Everett School Diss 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 SchFfol Impact Fee: <br /> Architectural Approved By/Date: ,(1 q,, iin0School Impa Fee Credit: <br /> Structural Approved By/Date: "�I L- Total Schoo mpact Fee Owed: <br /> Comments: Comments <br /> r <br /> Intake OK by:\ .f/ J S/2y/Z.!`��"8 Intake OK by: Ok to route _ old <br /> Make this a"W" Permit? Yes No , <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: D.,.=: <br /> Plan Check Fee Comments: <br /> Building Permit ..S4/, ' <br /> Surcharge High Hazard Sites(Dental/M Inca At mals,Mortuary, etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/'`T; ffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works,Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Copcurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Renewer: Date: <br /> Water Fee ❑ PW Permit Apprpted- PW <br /> Sewer Fee ❑ See PW Revi ` <br /> Systems Dev. Fee ❑ t Required <br /> Traffic Mitigation Fee ` <br /> Public Works Fee / A FIRE DEPARTMENT <br /> School Mitigation Fee \\\\ Update/N Sprinklers Yes r No_ Existing Bldg. <br /> Update/ ew Detection Yes 7 No_ Existing Bldg. <br /> Updat /New Chemical Yes 7/ Kr <br /> Existing Bldg. <br /> Update/New Fire S rvice Yes No_ Existing Bldg. <br /> Approved by' �� Date: S=Z�—( j <br /> Comments � �`' \ \xe ,r <br />