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• FOR OFFICE USE ONLY • PERMIT# <br /> BUILDING PLANNING <br /> Bldg/TI/Add em Siz 15`7'8 Zoning Classification <br /> Garage Size — Overlay/Agreement <br /> VALUATION to U ()UD Nonresidential Use <br /> Number of Stories Residential Use ---- <br /> Occupancy Group Proposed No. of Dwelling Units: -- <br /> Occupant Load CA Total No. of Dwelling Units: - <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V 6 needed before final? Yes No <br /> Existing Sprinkler System? Yes_ _ No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No 7 Phone#: -- <br /> Reason l S7t N U Approved b Date: ( �- <br /> Existing Fire Alarm Yes No Unk Historic App ved by: Date: <br /> Fire Alarm Required Yes_ No X School Mitigation Reqd? Yes_ No_ <br /> Reason Yl t IN U Everett School Dist Mukilteo Schoo <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 Im ee: <br /> Architectural Approved: PIO M ate:�nlll School Im ee Credit: <br /> Structural Approved: Date: T chool Impact Fee Owed: <br /> Comments: Comments:SE,?-Pr 6-- QZA <br /> Intake OK by: <br /> Intake OK by: � l'� Date: 3 �Z��l? <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: '16 Date: --Z4 / 7 <br /> Plan Check Fee Comments: <br /> Building Permit _ <br /> Surcharge HighHazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0t�ublic Work /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 ❑ 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 /> z ,L <br />