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FOR OFFICE USE ONLY PERMIT# ���� �� � <br /> BUIL.DING BLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification ;'�� <br /> Garage Size Overlay/Agreement �— <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use �� `2Y� <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 x <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: — <br /> Reason Approved by: �^I�! '' Date: � (�(t"� �C.�0`� <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 SCho01 ImpaCt Fee: — <br /> Architecturai Approved: Date: School Impact Fee Credit: � <br /> Structural Approved: Date: Total School Impact Fee Owed: — <br /> Comments: Comments: C\, n �5 <br /> �'',� c� �'��" ��. �►.. <br /> Intake OK by: Intake OK by: e.r� �. Ok to route Hold � <br /> Make this a"W" Permit? Yes No <br /> ' _ '; PUBLIG WORKS <br /> ' FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: ` <br /> ��� �i� ��� <br /> Building Permit 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 /> Piumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review se arate reen folder <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: /�J� Date: �- .>-� 7 <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 I:. 'FIRE ID'ERARTMENT <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 />