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� F�R OFFICE USE ONLY • PERMIT#���Z � d�.J <br /> BUILDING PLANNING <br /> Idg/tl/Addn/Rem Size ��(a ����'� Zoning Classification ��Z <br /> Garage Size �/ / _. Overlay/Agreement <br /> VALUATION �(o �(•�� Nonresidential Use <br /> Number of Stories � Residential Use V <br /> Occupancy Group � Proposed No. of Dwelling Units: 2 <br /> Occupant Load Total No. of Dwelling Units: �r <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: Z "' �Q���� <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: 'Z <br /> Add'I RCW 64.55 docs required prior to final?Yes No C81Culated SChool Impact Fee: <br /> Architectural Approved: Date:�/�/� School Impact Fee Credit: 3`Z � <br /> Structural Approved: Date: Total School Impact Fee Owed: � � <br /> Comments: ��,�� ,�`� �!: �s�� Comments: <br /> 7`" <br /> Intake OK by: �� <br /> Intake OK by: Date: <br /> P BLIC WORKS <br /> FEES INTAKE: Checked By: Date: � —� -7 C�/''�` <br /> Plan Check Fee Comments�,��'�,��,1����� ,!���.�,�"�r��— j'���?'y,��'���(!jj <br /> r <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 Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:�Date: - � /.%/ � <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 UpdatelNew 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 ervic Yes No Existing Bldg._ <br /> Approved by: Date: ?j-27-/ <br /> Comments: <br /> �Z <br />