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• FOR OFFICE USE ONLY• PERMIT# <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification d <br /> Garage Size K—XJ_SZziL P6CA Overlay/Agreement <br /> VALUATION Z a00 Nonresidential Use <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#: <br /> Reason Approved by: ,� Date: <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No <br /> Reason I 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: Z67 /� School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: //Cc /Vv �.� �g/� Comments: Aj rw-k on'-� Pe81;o5 �o eyo,,� ra,\ <br /> o-vl� JwS net �.e coo��.��, c�.,�.eic�s�r�si��✓r2 <br /> Eu2 Mc."'J Mk r"`eet Zor .q Lo(k <br /> Intake OK by: JCFF N ei l rnaW &14)(4- Intake OK by: J Ok to route Hold <br /> Make this a " Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <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: > '7 <br /> Water Fee ❑ PW Permit Approved -PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee lrPW 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 />