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FOR OFFICE USE ONLY PERMIT# L'11 O 5 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement )\,( <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <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 by: <-- Date: CP (OS' ('LO\' <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 ool 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 F <br /> Architectural Approved By/Date: School Impact Fee Credit.; <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: Oegsksz <br /> me_ <br /> Intake OK by: Intake OK by: Ok to route _ Hold <br /> Make this a"W" Permit? Yes No <br /> P JBLIC WORKS' <br /> FEES INTAKE: Checked By: Date: - <br /> Comments: ' ierAtPlan Check Fee N® I Dwure,ti�ur a <br /> Building Permit 4„ Prfi`t4s. `Fob' T 1 <br /> Surcharge NI Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 104 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 !view(separate gre-n f.der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: p Date: . S 20 <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee XPW 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 />