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FOR OFFICE USE ONLY PERMIT# &C 1 Vg 0 (R <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size +0 Zoning Classification C.— 1R <br /> Garage Size Overlay/Agreement <br /> VALUATION (9/000 Nonresidential Use jLQ,^ <br /> Number of Stories [ Residential Use <br /> Occupancy Group 15 Proposed No.of Dwelling Units: --- <br /> Occupant LoadIt. Total No. of Dwelling Units: <br /> Basement No ) Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction I, -A needed before final? Yes_ N <br /> Existing Sprinkler System? Yes )0 No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes )© No Phone#: <br /> Reason N '13 Approved by: it-, 1.1 Date: q-I Li,1--7 <br /> Existing Fire Alarm Yes>0 No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes /- No_ School Mitigation Reqd? Yes_ No x <br /> Reasons s JNJ 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: MCU ops tell qi/1i/f 17 School Impact Fee Credit: <br /> Structural Approved By/Date: pri Q.rtRthit CP 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 a II tt 1 i'ri ty,not- rc6 v' <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 green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 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: <br />