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• FOR OFFICE (!SE ONLI� • ���M��'# ����-�� <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size Zoning Classification —�� <br /> Garage Size Overiay/Agreement <br /> VALUATION Nonresidential Use � � �O��^��`��� <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: �� — p"�� <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 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: 1� :'��-�� �— � -�"' Comments: <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W" Permit? Yes No <br /> P BLIC WORKS <br /> FEES INTAKE: Checked By: Date: � � <br /> Plan Check Fee Comments:�n �j f_ _ p � ����:�� <br /> (C�� ��' U <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 eview(separate gr�en older) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer.. Date: �r5' <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 Bidg. _ <br /> Updatel New Fire Service Yes No Existing Bldg._ <br /> Approved by: Date: - <br /> Comments: <br /> ' �L <br />