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FOR OFFICE USE ONLY PERMIT# �JI-1� � � �� <br /> BUILDING PLANNING <br /> Bld /TI ddn/Rem Size _'✓1� Zoning Classification - � <br /> Garage Size '� Overlay/Agreement -- <br /> VALUATION �i�� dd� Nonresidential Use ����(' � "'�,v'�� � � <br /> Number of Stories � Residential Use � <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load T� 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 by� �� Date: ��' ��� i! ���'-'�l�i- <br /> Existing Fire Alarm Yes No Unk Historic Approved by: J� �l� 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 Galculated School Impact Fee: <br /> Architectural Approved By/Date: G�� ��-'t �l7 School Impact Fee Credit: �'� <br /> Structural Approved By/Date: � Total School Impact Fee,�wed: <br /> , <br /> Comments: Comments: j` <br /> Intake OK by: �� �� �'� �� Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" ermit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By:�� Date: /� -� J - / 7 <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, Mortuary,e - iew for RPBA) <br /> Additional Plan Check �' . NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> MechaniCal Fee ❑ Public Works Permit-Concu«ent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <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�Nq. Existing Bldg.� <br /> Update/New Chemical Yes No Existing Bldg._ <br /> Update/New Fir Se ice Yes No �Existing Bldg._ <br /> Approved by: Date: �� Z7 2�1' <br /> Comments: � �� -' ��^' <br /> ` ''�, <br /> /J� ��wl� , �l;';, , 7 7 <br /> � ' � �-�=�� <br />