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FOR OFFICE USE ONLY PERMIT# �I�OZ - ��j g <br /> � <br /> BUILDING PLANNING <br /> Bldg/TI/ � Rem Size � 9 S �, Zoning Classification � — I <br /> Garage Size Overlay/Agreement � <br /> VALUATION � 2.. ` Nonresidential Use <br /> Number of Stories l 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 ' r' needed before final? Yes No h <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: ��?'- Date: �� �2 2��� <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: � /,� School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments: ���� !r� �, �,c�'��_ Comments: <br /> � <br /> �.s,-�f= <br /> Intake OK by: <br /> Intake OK by: � � Date: 2 � /�' <br /> UBLIC WORKS <br /> FEES INTAKE: Checked By: . Date: <br /> Plan Check Fee Comments:�� �� � fjGG� / �/yl� <br /> Building Permit � � �G� �'�/� <br /> Surchar e I�i�$Ha�ard S�tal, Medical,Animals, Mortua <br /> g g ( ry,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 gr n folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: o'Z a o���' <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet/1��R <br /> Systems Dev. Fee �PW Permit Not Required �1� F�fm�' (7Y� (N C.DI�, , <br /> Traffic Mitigation Fee S�✓�-� �!4'K,� N0�`��. <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 /> � <br />