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� FOR OFFICE USE ONLY � PERMIT# <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size Zoning Classification - <br /> Garage Size Overlay/Agreement <br /> VALUATIOPI � L�94� Nonresidential Use �' <br /> Number of Stories / Residential Use �V�\�'� � � qW1� <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: Date: 1` � ��1`� <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: {P Total School Impact Fee Owed: <br /> Comments: Comments: �'�Q C� vc's` <br /> A� c � � <br /> �s �'1����.g �°�- y`e.���° � ����.\ . <br /> Intake OK by: Intake OK by: Ok to route _ Hold <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS `' <br /> FEES INTAKE: Checked By: D e: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazar s(Dental/Medical, nimals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/ raffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Wor Review(bldg folder, PW Worksheet) <br /> MeChanical Fee ❑ Public Works Perm' Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: P Reviewer: Date: <br /> Water Fee ❑ PW Permit pproved-PW <br /> Sewer Fee ❑ See P eview Worksheet <br /> Systems Dev. Fee ❑ PW ermit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee pdate/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 /> ��7� <br />