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• FOR OFFICE USE ONLY PERMIT# & TW' sCY `I <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification - S <br /> @arage Size PSL 1/6 SJ Overlay/Agreement <br /> VALUATION (0I Li- 00 Nonresidential Use <br /> Number of Stories ( Residential UseI)e-,- <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 1:416[ Date: (0 HI <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No_ /J- <br /> / <br /> Reason Everett School Dist Mukilteo Sch ist <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 act Fee: <br /> Architectural Approved By/Date: ///// School I ct Fee Credit: <br /> Structural Approved By/Date: al School Impact Fee Owed: <br /> Comments: Z.....1/4.0 is- //. L Comments: <br /> t 77J Ahl7 /t) LJ <br /> rr <br /> Intake OK by: J C- or t 9- <br /> Intake OK Ok to route Hold <br /> Make this a"W" Permit? Yes_ No_ <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <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 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: JE-4- Date: 4/1/Z011- <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet NIA' <br /> Systems Dev. Fee PW Permit Not Required <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 /> Ill/ <br />