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FOR OFFICE USE ONL� PERMIT#� I� �;�J O�� <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification �l `,j -�,L <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use - <br /> Number of Stories Residential Use Lj�V�G1��t '�' �n <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 /> — — `_ <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 Approv d by: Date:� b (5 / � <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 By/Date: School Impact Fee Credit: <br /> Structural Approved By/Date: 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 /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: � Date: �-�.`��-/7 <br /> Plan Check Fee Comments: �� <br /> Building Permit '���'�c�`S ���"� ��V'`'`��- <br /> Surcharge High Hazard 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 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate gree folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:��Date: <br /> Water Fee PW Permit Approved- PW ��P�� pL�� <br /> Sewer Fee ❑ S PW Review Worksheet <br /> Systems Dev. Fee ❑ PW mit Not Required /�I�Ir� �P�m��f/181� <br /> Traffic Mitigation Fee <br /> Public Works Fee �5�� ���������� <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 /> '��� �� , `� ,�i1;L <br />