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FOR OFFICE USE ONLY PERM�T# 1,�� �J���'v'� <br /> BUILDING PLANNING <br /> ,�, <br /> BldglTl/Addn/Rem Size Zoning Classification — <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidentiai 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? Yes_ No �— <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#:�— <br /> Reason Approved b � 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 Scho <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 Scho'Dl pact Fee: <br /> Architectural Approved By/Date: Sch�et�l'mpact Fee Credit: <br /> Structural Approved By/Date: �(- 2�}- �� Total School Impact Fee Owed: <br /> Comments: Comments:� .��� �'��tv�,�,�' /t,, ,f���;� <br /> G+� �� � • q��� -- <br /> s <br /> � �i,�tq,��C�CJ ��1 ��� <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: <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: �"Z ' � 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 UpdatelNew 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 /> Z� � <br />