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!r <br /> FOR OFFICE USE ONLY • PERMIT it Kt ' oLk —025 <br /> BUILDING PLANNING <br /> BldgrFl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION (0 CVS 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)G No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason R - 1i Approved by: Date: <br /> Existing Fire Alarm Yes–,)O No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes )' No_ School Mitigation Reqd? Yes_ No <br /> Reason I (-W s,tijs Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No #of Net New Units: <br /> Add']RCW 64.55 docs required prior to final?Yes No Calculated School Impact Fee: <br /> Architectural Approved By/Date: Mt? ( A�Q)j 5ZIijj7 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: – '7.. <br /> Plan Check Fee Comments: W <br /> Building Permit ✓ '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(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: S– �f l <br /> Water Fee PW f-efrrritApproved-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_Z Existing Bldg. <br /> Update/New Fire S rvice Yes No Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br /> �y <br />