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FOR OFFICE USE ONLY PERMIT# V\& <<1• <br /> -o33 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification { l pkv <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Uni . <br /> Occupant Load Total No. of Dwelling Unit . <br /> Basement No Yes_ Fin / Unfin Landscape or Planni g 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:(i Date: I 1 b 1O <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 D' <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 F--: <br /> Architectural Approved By/Da . A(„/0"�/ School Impact Fee Cr;•it: <br /> Structural Approved By/Date: Total School Impact ee Owed: <br /> Comments: Com ents: <br /> ,p lANNNS , �bi\ec e& an& <br /> t A fi n vacs! ‘4k \'i u p <br /> Intake OK by: �.�18a� 5 u\ LI& ce)t.Mq <br /> Intake OK by: to route Hold <br /> Make this a"W"`R�rmit? 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 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 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: ,}k.� Date: &-/8- 7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee I 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 />