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o.' ��'` <br /> ��6'� ������ �SE ONLY PERMIT# ��.��� �,�I J �`,f�t� <br /> BUILDING. PLANNING <br /> r <br /> Bldg�l/Add em Siz �--�-4 S�� �`��,� j� Zoning Classification �s�� <br /> � <br /> Garage Size Overlay/Agreement <br /> VALUATION � �"��-i;ti� Nonresidential Use <br /> Number of Stories � Residential Use ��; ,-,�';�;� ��e i 1�, <br /> Occupancy Group �� Proposed No. of Dwelling Units: <br /> Occupant Load �� Total No. of Dwelling Units: <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 N Unk P�anning inspector: <br /> Fire Sprinkler Required Yes No �� Phone#: <br /> Approved by: � Date: r - ?�y-�- t � <br /> Reason ��?�� <br /> Historic Approved by: � Date: — <br /> Exisfing Fire Alarrri Yes No Unk <br /> � School Mitigation Reqd? Yes_ No � <br /> Fire Alarm Required Yes_ No <br /> �� J S Everett School Dist Mukilteo School Dist <br /> Reason v� <br /> #of Net New Units: <br /> RCW 64.55 MultiFamily Enclosure Req'd? Yes_ No� <br /> Calculated School Impact Fee: <br /> Add'! RCW 64.55 docs req'd prior to final?Yes_ No_ <br /> School Impact Fee Credif: <br /> Architectural Approved: p'��(, �a}�l.0 Date; ,� L`} � Total School Impact Fee Owed: <br /> Structuraf Approved: Date: 2 2 (�- Comments: <br /> Comments: <br /> 4.'.,`� <br /> Intake OK by: -�,���"'i� <br /> Intake OK by: Date:2 �`� � � PUBLIC WORKS <br /> INTAKE: Checked By: Date: <br /> FEES Comments: <br /> Plan Check Fee <br /> Building Permit High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Surcharge ❑ Public Works/Sys Dev/Traffic Mit.!RPBA- NOT REQUIRED <br /> Additional Plan Check ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Plumbing Fee ❑ Public Works Permit-Concurrenf Review separate green folder) <br /> Mechanical Fee PW REVIEW: PW Reviewer:_��Date: /-�7-�� <br /> Ping Bldg Review Fee � PW Permit Approved-PW <br /> Water Fee ❑ See PW Review Worksheet <br /> Sewer Fee � PW Permit Not Required <br /> Systems Dev. Fee <br /> Traific Mitigafion Fee FIRE DEPARTMENT <br /> Update/New Sprinklers Yes_ No_ Existing Bldg._ <br /> Public Works Fee <br /> Update/New Detection Yes No_ Existing Bldg._ <br /> School Mitigation Fee <br /> Update/New Chemical Yes No Existing Bldg._ <br /> Update/New Fire Service Yes No Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br /> � �/ <br /> � <br />