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• FOR OFFICE USE ONLY ip PERMIT <br /> BUILDING PLANNING <br /> Bld '/- ddn/Rem Size l O t O S Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION S �-ra ro- Nonresidential Use <br /> Number of Stories 1 Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No L( Yes_ Fin / Unfin Landscape or Planning Inspection / <br /> Type of Construction V 6needed before final? Yes No Y- <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_X No Phone#: -7 <br /> Reason Approve y: Date: Z <br /> Existing Fire Alarm Yes No Unk Historic Approved by: nate: <br /> Fire Alarm Required Yes X No— School Mitigation Reqd? Yes_ No_ <br /> Reason ke mk o N) 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: l GDate:Z L3 School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: <br /> Intake OK by:—&�--Date:� 7 -7 <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: No c�x4 F-- L G<d't. A/0 <br /> Building Permit A/O <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 RrPW 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 /> 7 <br />