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� FOR OFFICE USE ONLY � PERMIT# �(�-O�v � <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size 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 by: �L� Date: (o��""� <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes_ No lC <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 GalCulated School ImpaCt Fee: <br /> Architectural Approved By/Date: School Impact Fee Credit: <br /> Structural Approved By/Date: �' � c� � 'j Total School Impact Fee Owed: <br /> Comments: ��«��L � ��-� ' Comments: <br /> T�-1�/�c-�� C�N1�`� . <br /> Intake OK by: ^ /� �-�' `�� �� Intake OK by: Ok to route Hold _ <br /> Make this a" ' ermit? Yes No <br /> P BLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Comments: �6 i" ���li!'j/� ` l�j�,�,QY� <br /> Plan Check Fee (/V j <br /> Building Permit <br /> Surcharge Hig 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 eview(separate green folder) <br /> Ping Bidg Review Fee PW REVIEW: PW Reviewer: Date: � ��'��' <br /> Water Fee ❑ PW Permit Approved- PW <br /> Sewer Fee ❑ See PW Review Worksheet N�A� <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 Bidg._ <br /> Update/New Chemical Yes No Existing Bldg._ <br /> Update/New Fire Service Yes No Existing Bidg._ <br /> Approved by: Date: <br /> Comments_ ��� <br /> v' <br />