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. FOR OFFICE USE ONLY • PERMIT# �I�O�'�� <br /> BUILDING PLANNING <br /> Bld !TI dd Rem Size �� 3 2� SF Zoning Classification �/�,— <br /> Garage Size Overlay/Agreement <br /> VALUATION � UU� DOO Nonresidential Use � �. <br /> Number of Stories I Residential Use �� <br /> Occupancy Group S'� 5"� �i �C'��. Proposed No. of Dweiling Units: ��- <br /> Occupant Load �SO Total No. of Dwelling Units: - <br /> Basement No � Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction • (3 needed before final? Yes No <br /> Existing Sprinkler System? Yes )4 No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes X' No Phone#: <br /> Reason �tFP(} '1� Approved � Date: �--- <br /> Existing Fire Alarm Yes� No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes � No School Mitigation Reqd? Yes No <br /> Reason ��1J�SlU�s Everett School Dist Mukilteo Scho �t <br /> RCW 64.55 MF worksheet req'd for permit? Yes No ZC #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes No Calculated School I Fee: <br /> Architectural Approved: �� ��A Date: �l�$/� School I Fee Credit: <br /> Structural Approved: Date: �s��� School Impact Fee Owed: <br /> Comments: Comments�l �/��W�, j���1-`l�� �� <br /> , `���, Intake OK by: <br /> Intake OK by: Date:�� l � '� <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: � 20/ <br /> Plan Check Fee Comments:�'Gti�'l� i'F�/�E(�lE�- Gi..4 QS'�0�-002 S�O�-Ol� <br /> I�'a�lica.b-�,�. Co��� � P�.61�l��1 eon�'�fron.e <br /> Building Permit �Y'4��� ���S. <br /> Surcharge High Hazard Sites(Dental, Me � , nimals, Mortuary, -Review for RPBA) <br /> Additional Plan Check ❑ Public Work /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 green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:�Date:,-ryZ.�/ 7 <br /> Water Fee ❑ PW Permit Approved- PW <br /> Sewer Fee ❑ See PW Review Worksheet C?L�C"�ti�� ��YIi.SG; �/�h� <br /> Systems Dev. Fee PW Permit Not Required -��dE°����� �t��" <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 Bldg._ <br /> Update/New Fire Service Yes No Existing Bldg._ <br /> Approved by: Date: <br /> Comments: ` <br /> l`���, <br />