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FOR OFFICE USE ONLY PERMIT# ( —00a <br /> BUILDING PLANNING <br /> Bldg/Tl/Addn/Rem Size Zoning Classification — <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use (rjec-A.am_ <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 t---- <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector:---' <br /> Fire Sprinkler Required Yes_ No_ Phone#: ---- <br /> Reason Approved b Date: t)) J i R-- <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 Scr•: •ist <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 Scho. pact Fee: <br /> Architectural Approved By/Date: School l ..act Fee Credit: <br /> Structural Approved By/Date: ''' ce, I4R' To . School Impact Fee Owed: <br /> Comments: 66 l4 Comments: /�"` <br /> lam" l 7)41' <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No <br /> P WORKS <br /> FEES INTAKE. Checked By � Date: <br /> Plan Check Fee Comments: pc) f14) <br /> Building Permit (A 014)6. <br /> Surcharge High azard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 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 eview(separate gree fol.-r) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewe Date: a • <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 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 /> D <br />