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FOR OFFICE USE ONLY PERMIT# M (gb( '©� <br /> BUILDING • PLANNING <br /> BldgITI/Addn/Rem Size Zoning Classification " 1 <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 )l <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by _f$ 1� Date: '2(O\ 1 2MB' <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Ail a'T Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No X <br /> Reason Everett School Dist Mukilteo School <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 <br /> _ Noy ,�I-O}' Calculated School Impact Fee- <br /> Architectural Approved By/Date: tL313 School Impact Fee Credi • <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: U+\NS S\p \ A k 1Q s X i* <br /> � 1 \c t-e.Nsooctc arta • <br /> cpCoedze_& Q3( S v e"Io" <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? 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 ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee <br /> 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 />