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FOR OFFICE USE ONLr PERMIT# Ir 1 ' Ot '✓ L) <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: r3 / <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by:KJ ii' 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 By/Date: 1--477F-'3/1411/...jr- School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: S M A \(p -Okt,. <br /> Intake OK by: 4!1 '' /V e. Intake OK by� Ok to route _ Hold _ <br /> Make this a"W" '4-mit? Yes No <br /> P BLIP :WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: Se-lag <br /> Building Permit A v 1 A) Se"l _. rSurcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check jgrPublic 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 gre n f Icier) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer' Date: 3 Za <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee .1ErPW 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 /> eLXtiYbf `d <br />