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/ <br /> FOR oFFicE usE on►LY � PERMIT# ����~1 I� � G ' ���� <br /> BUILDING PLANNWG <br /> Bldg/TI/Addn/Rem Size Zoning Classification ^ ' <br /> Garage Size Overlay/Agreement — " f <br /> VALUATION Nonresidentiai Use �.\ ,� c �` CEf <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 /> � -� <br /> Reason Approvedby:��� Date: \� �0 20i`� <br /> Existing Fire Alarm Yes No Unk Historic Approved by: N � Date: �'�/� <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: �� 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 /> P BLI WORKS <br /> FEES INTAKE: Checked By: -� Date: Q l�- <br /> Plan Check Fee Comments:�� � ��/'�/?/1Lr�— <br /> � <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-Concurren Review(separate gre�n fold r) <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 �IRE 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 />