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FOR OFFICE USE ONLY PERMIT#�� Ce' <br /> , ._ . , <br /> , ;- BUIL}31NG` ; _:. •: PLAf�1+iFNG...'. ... <br /> BldglTl/Add Size O(� Zoning Classification — <br /> Garage Size Overlay/Agreement �' <br /> VALUATION G�C) 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? Ye No <br /> Existing Sprinkler System? Yes No Unk Planning InspeCtor; <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date: �f ���I- <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 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 Caiculated School pact Fee: <br /> Architectural Approved By/Date: School Impact ee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: /�p/�"' �,�G ��jfl,��C. Comments: <br /> �� C� � �Cue�„�r2 0� us-e.. ��:s�.g <br /> ��SF2 �� -a-e�Q�,C,� <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W" Permit? Yes No� <br /> PU.BLIC.WO'�3KS <br /> FEES :: �: INTAKE: Checked By: Date: <br /> _ . __ _ _ . _ ._ ._... .. <br /> ___ <br /> Plan Check Fee - Comments: � <br /> Building Permit <br /> �� �I��l4Y 'YI�� Y`�` <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,eto-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ 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 ❑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 FIf�E:DEPARTM�NT. .,. > <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 />