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FOR OFFICE USE ONLY • PERMIT <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement 1'a4SV-e/r 1'a/rt AA <br /> VALUATION Nonresidential Use a4 I <br /> n{ , l <br /> Number of Stories Residential Use <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_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: �r <br /> Reason Appro d by: Date: Q <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date:'" <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No <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: Date: School Impact Fee Credit: <br /> Structural Approved: Date: l Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: <br /> Intake OK by: Date: 1-;11 <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: - Date: <br /> Plan Check Fee Comments: No Pct S—'CDe In�� dm <br /> 1 " <br /> Building Permit In £ q t1An111Z .U,;A b1� -S/A6 '0yt `j <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(separ to green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: �N <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ,❑r See PW Review Worksheet <br /> Systems Dev. Fee ILEI 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 />