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FOR OFFICE USE ONLY • PERMIT# C l4-2 1/6 <br /> • <br /> BUILDING PLANNING <br /> Bld /TI/Addn/Rem Size <br /> g 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 Approved ye„ Date:3 / <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: G <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo Sch•: list <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 IP c Fee: <br /> Architectural Approved: Dated/07 School I •:- Fee Credit: <br /> Structural Approved: Date: T. al School Impact Fee Owed: <br /> Comments: Comments:Sp(D 1 <br /> _ a ) <br /> &✓ec f 1a -`�I l K05 ,. v <br /> // Intake OK by: <br /> Intake OK by: Date: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: ! Date: .y`' <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 0 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: / Date: _ <br /> Water Fee ❑ PW Permit Approved- PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 'W 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 />