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FOR OFFICE USE ONLY PERMIT# :� � `"?-� �-' ����� �"�� <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size Zoning Classification � — (Z <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use �J�� �N ���L <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwellinc3 Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No Yes Fin / Unfin L.andscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No� <br /> � <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> � <br /> Reason Approve y: �� Date: � �L' � �/ <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/Dat : School Impact Fee Credit: <br /> Structural Approved By/Date�� �.,���: �''" Z� Z.n�,o 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 r'' <br /> FEES INTAKE: Checked By:_ Date: :> <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Nledical,A�4tiimals, M ua ,et -Review for RPBA) <br /> i <br /> Additional Plan Check ❑ Public Works/Sys Dev�firaffic Mit./ NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Wo,cl s Review(bl er, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Perrrtif-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: P Reviewer: Date: <br /> Water Fee ❑ PW Per �Approved-PW <br /> Sewer Fee ❑ See Review Woriksheet <br /> Systems Dev. Fee ❑ P 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 /> Z /� <br /> l <br />