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• FOR OFFICE USE ONLY • PERMIT# s�' �? ' `� � 4 ��� <br /> BUILDING '. PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION ��4C"� Nonresidential Use <br /> Number of Stories Residentiai Use <br /> Occupancy Group L� 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: � (� � ,f��� <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: Date: -5�Z / School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> _.______ r, <br /> Comments: ;, � omments: a . - � <br /> Z��S //�C�.. ,/1� /Z �=--r,�,�3� C��� �� `�-_ �=.�'_;-';`c,'�3-�_G, <br /> I �l.il� ��'+''`t �.�::lr � � <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: `�c� Date: ° I <br /> Plan Check Fee Comments: P�{}{��� (,�a,�,(.S In �,Qw �� W� <br /> Building Permit b(��f S-6 U�WZD G�o /,lI�O �EY'Ml�f• <br /> c1 0 <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-Concur ent Review se arate reen folder <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: S 2�1 <br /> Water Fee �PW Permit Approved- PW I�'0$—O�� <br /> Sewer Fee ❑ See PW Review Worksheet/U jp <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee `F1RE 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 Bidg._ <br /> Update/New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br />