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FOR OFFICE USE ONLY PERMIT#��� �Z ` �� <br /> 6UILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 5 U�� Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwe ng Units: <br /> Occupant Load Total No. of Dwel' g Units: <br /> Basement No Yes Fin / Unfin Landscape o lanning Inspection <br /> Type of Construction needed b ore final? Yes_ No_ <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> — — �--, <br /> Reason Approved b � � - Date: �L�di Z���- <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 inal?Yes o CalcUlated School Impact Fee: <br /> Architectural Approved By/Date: School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fe wed: <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: DatF: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Aniahals, rtuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Trar`fic � ./RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Revie (bldg folder, PW Worksheet) <br /> MeChanical Fee ❑ Public Works Permit-Concurre Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewe . Date: <br /> Water Fee ❑ PW Permit Approved PW <br /> Sewer Fee ❑ See PW Review W rksheet <br /> Systems Dev. Fee ❑ PW Permit Not F quired <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New prinklers 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 /> �f'?/ <br />