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FOR OFFICE USE ONLY PERMIT# VOIi - u`CJ <br /> 0 <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use �J <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: ` -- <br /> Occupant Load Total No. of Dwelling Units: 1 <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 b Date: ///L - <br /> Existing Fire Alarm Yes No Unk Historic Approved b�C Date: ` l/////L / 4 <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes No V <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: (1).0 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-Concurrent Review(separate green older) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: P> Date: / 2�/ <br /> Water Fee 0 PW Permit Approved-PW / <br /> Sewer Fee 0 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 Bldg. <br /> Update/New Chemical Yes No Existing Bldg. <br /> Update/New Fire Service Yes No Existing Bldg. <br /> Approved by: Date: <br /> Comments: J1-. �� � <br />