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FOR OFFICE USE ONLU PERMIT# <br /> BUILDING <br /> . PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification C <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Unit • <br /> Occupant Load Total No.of Dwelling s: <br /> Basement No_ Yes_ Fin / Unfin <br /> Landscape or PI nning Inspection `I <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:C.-- Date: ( 067 f 1c y�'S <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: N k Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No ' <br /> K. <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: 018 School Impact Fee Credit: <br /> Structural Approved By/Date: / Total School Impact Fee Owed: <br /> Comments: Comments: cU k.�-Q\LS) <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 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate gree folder) <br /> C <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> �� <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ❑,(See PW Review Worksheet <br /> Systems Dev. Fee I PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprink s Yes_ No Existing Bldg._ <br /> Update/New Dete Yes o_ Existing Bldg._ <br /> Update/New Che ical • _ No_ Existing Bldg. <br /> Update/New Fire Serv.• Yes No_ Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br />