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FOR OFFICE USE ONLY PERMIT# � ��DaJ�O� <br /> BUILDING PLANNING, <br /> Bldg�fl/Addn/Rem Size <� .7�� Zoning Classification ��. <br /> Garage Size "' OverlaylAgreement �.�( � �� <br /> VALUATION / °a� QKJ Nonresidential Use Q <br /> Number of Stories � Residential Use � <br /> Occupancy Group "' �'� Proposed No. of Dweliing 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 <br /> Existing Sprinkler System? Yes � No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason �ll G' Approved Date: � � <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 N Calculated School Impact Fee: <br /> — � <br /> Architectural Approved: Date;� 1 School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments: ��� t l.1 k� Comments: .,.._,_.---- <br /> -� �o��� �� �`G� <br /> 5�d� ,4 P�� <br /> Intake OK by: <br /> Intake OK by: Date: <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 ❑ 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: �=�2'7—� <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 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 /> 2�. <br />