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F014 OFFICE USE OI�ILY PERMIT# � `� 5 ��� l <br /> BUILDING PL�INNING <br /> Bld /TI/ ddn/Rem Size ,'�l Zoning Classification -- <br /> Garage Size Overlay/Agreement —r— <br /> VALUATION � Q� Nonresidential Use L , — ��-- ((, � <br /> Number of Stories � Residential Use — <br /> Occupancy Group d Proposed No. of Dwelling Units: —� <br /> � <br /> Occupant Load l 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 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 Mukilte ool 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 S ool ImpaCt Fee: <br /> Architectural Approved By/Date. Scho mpact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: � Comments: <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: <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: X� Date: S`,� /—/ � <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 />