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� Fo� oFFicE usE oN�Y � P��M�T# IJ� O�-' �D I <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size ,� �,� Zoning Classification �-1 <br /> 6arzn�e�Size ��� .S� Overlay/Agreement <br /> VALUATION ,�� � Nonresidential Use <br /> Number of Stories � Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: �� <br /> �� <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No Yes� Fin / Urrfin� 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 b . Date: (�l (�- <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No „��'�' <br /> Reason Everett School Dist Mukilteo,Sc�iool 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 Sc mpact Fee: <br /> Architectural Approved By/Date: ;� Scho pact Fee Credit: <br /> Structural Approved By/Date: To al School Impact Fee Owed: <br /> Comments: 2G��� �� Comments���wwuY� �/�1.�L <br /> C� <br /> Intake OK by:� Intake OK b . Ok to route � Hold <br /> Make this a"W" Permit? Yes No <br /> P BLIC WORKS <br /> FEES INTAKE: Checked By: L ` Date: S Z� ZlN <br /> Plan Check Fee Comments: � �'�,�f'F/��- GU�Yk C[.11 <br /> Building Permit `C/1�� SCt1�J� o,.� '�1� �G'��1�trf � �'L--���'t- <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-Concurren Review(separate gr en f Ider) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer. Date:.� �.� �� <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 /> v v <br />