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FOR OFFICE USE ONLY PERMIT# �'� � i' � J"- =% �` <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 Dweiling Units: �-- --_- <br /> Basement No Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No l� <br /> Existing SprinklerSystem? Yes No Unk Planning Inspector: -- <br /> Fire Sprinkler Required Yes No Phone#: � <br /> Reason Approved Date: , � <br /> Existing Fire Alarm Yes No Unk Historic Appro �d by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo Schogi-Dist <br /> � <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 tp final?Yes No CalCulated SChool I Ct Fee: <br /> Architectural Approved By/Date: School I Fee Credit: <br /> Structural Approved By/Date: To School Impact Fee Owed: <br /> Comments: Comments:�l,� �,��CL�.� "�(P :����t-f , - <br /> ��r -� � � w� �:� ���� <br /> . �� �� <br /> Intake OK by: Intake OK by: � k to rou 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 /> Sufcharge 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-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee ❑ PW Permit Approved- PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW 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 Bidg._ <br /> Update/New Chemical Yes No Existing Bldg._ <br /> Update/New Fire Service Yes No Existing Bidg._ <br /> Approved by: Date: <br /> Comments: <br /> ��7� <br />