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FOR OFFICE USE ONLY • PERMIT#`eke-03 -0q9 <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size 5'6 C Zoning Classification l <br /> 1 `J <br /> Garage Size Overlay/Agreement <br /> VALUATION 41 Sae Nonresidential Use <br /> Number of Stories Z. Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: -- <br /> Occupant Load iv i Total No.of Dwelling Units: <br /> Basement No_ Yes)‘ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V needed before final? Yes No 1/- <br /> Existing Sprinkler System? Yes Nor'Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: I <br /> Reason Approved b Date 12?/ 1 <br /> Existing Fire Alarm Yes_ No T/ Unk_ Historic Approlved by: Date: /// <br /> Fire Alarm Required Yes_ No / School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo Sc Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No #of Net New Units: <br /> Add'I RCW 64.55 does required prior to final?Yes_ No) Calculated School I ct Fee: <br /> Architectural Approved: 4„ Date )7 ) School 1 ee Credit: <br /> Structural Approved: Date: T al School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK b,9114 i <br /> Intake OK by: Date: <br /> PUBLIC WORKS <br /> FEES _ INTAKE: Checked By: KB Date: 3 7^I 7 <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 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 Bidg._ <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: <br />