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• <br /> FOR OFFICE USE ONLY • PERMIT# M t�D�-Oke:. <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 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 Approve. •y: W Date: 5 47 <br /> Existing Fire Alarm Yes No-Unk_ Historic Approved by: Date: I <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 By/Date: ww is �j/ I$�J Vim- School Impact Fee Credit: <br /> Structural Approved By/Date: ,!,-,,, qli ./ t. Total School Impact Fee Owed: <br /> Comments: Comments: <br /> l <br /> Intake OK by: k s(�l/ <br /> I - Intake OK by: Ok to route Hold <br /> Make this a"W' P:rmit? Yes No <br /> PUBLIC WORKS <br /> FEES <br /> INTAKE: Checked By: y/ &' - Date: ,57747 <br /> Plan Check Fee Comments: <br /> Building Permit NO <br /> Surcharge Hig Hazard Sites(Dental`,Animals, Mortu ,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 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: }J 4 Date: �1q//-� <br /> Water Fee iNt PW Permit Approved- PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ,R(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 />