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FOR OFFICE USE ONLY PERMIT# (q-OC "039 <br /> BUILDING / PLANNING <br /> Bld !TI/ ddn/Rem Size G, 1 l(o 4 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Agt Nonresidential Use <br /> Number of Stories / Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load /Q 0 Total No. of Dwelling Units: <br /> Basement No Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction _ 7/L —/.� needed before final? Yes No <br /> Existing Sprinkler System? Yes_ No?'S Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: ) <br /> Reason Approved by: �J' Date: J li7 <br /> XX 9 1 ! J <br /> Existing Fire Alarm Yes U 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 By/Date: L+' . (_, i� Jl�- School Impact Fee Credit: <br /> Structural Approved By/Date: /: / I Total School Impact Fee Owed: <br /> Comments: Comments: <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: --OA. Date: <br /> Plan Check Fee Comments: <br /> Building Permit 1.,) <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary, etc-Review for RPBA) <br /> Additional Plan Check '0 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 ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved- PW <br /> Sewer Fee 0 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 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 />