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J. . / <br /> � FOR OFFICE USE ONLY PERM�T# ���'I� ��-����� ������ <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size Zoning Classification �� <br /> Garage Size Overlay/Agreement <br /> VALUATION �S� 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: �� ��I <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes_ No � <br /> — — ,, <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: � School Impact Fee Credit: �% <br /> Structural Approved By/Date: � i� ?� 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: �,8 Date: �`' %� 1 <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: ,S'-/0�'� � <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 /> � <br />