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FOR OFFICE USE ONLY PERMIT# gog - CO ' <br /> r p ....) /em <br /> A � dl�3..i,,.,,PLANNING ; ti z,x....._... .,...,. <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 4" A q 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: <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 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 , / Date: t gf ` School Impact Fee Credit: <br /> Structural Approved: j! Date: t 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 /> 2�,h^. '�"`'Ia �,�,.t„�4��!�`���,t3�v,�an a x ar©kk.aa fi3-y,x4t35�'s c. !._ s'v. SfN <br /> �G r t w x '.1 . UiaLIC { RF i �., t C z �.t z1}..:r,' <br /> �niF n Fgg§ EEM zg.;a i , ;tkli 5e. 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: 44 Date: 7-/04 7 <br /> Water Fee PW Pcrmit 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 ag> ge. ., JREPE AT ;i <br /> . _ g, . <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: -?•-• 3-i <br /> Comments: <br />