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• Fo� oFF��� USE �NLY i PE�MOT# � ��10� - 0 20 <br /> BUILDING PLANNING <br /> BidglTl/Addn/Rem Size Zoning Classification '�j <br /> Garage Size Overlay/Agreement '"^� <br /> ---- <br /> VALUATION Nonresidential Use <br /> i <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 Date: Z� <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 Mukilte ool 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: g �.� Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK b : Okto route Hold <br /> Make this a "W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <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: <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 /> � t` <br /> __..- <br />