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FOR OFFICE USE ONLY PERMIT# °�.( Lk 5 <br /> BUILDING PLANNI <br /> NG <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION (-0 `~'' Nonresidential Use <br /> Number of Stories j Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No Yes_ Fi / 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 o Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Y 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 Approve : aDate: School Impact Fee Credit: <br /> Structural Approved: �j Date: 4-' 2.14 Total School Impact Fee Owed: <br /> Comments: l 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 J 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 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: _.. / 7- / <br /> Water Fee .❑ 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 DEPA TIIAENT. <br /> School Mitigation <br /> 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 ervice Yes / No Existing Bldg.— <br /> Approved by: V ..'Z Date: `-{-1f <br /> j <br /> Comments: <br />