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FOR OFFICE USE OM! �E�M�T#�/�"( ��`� 7 J ��� � <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification '— <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use �� o� d'��s{3-`� "`2 <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? Y No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date: � �� '2���- <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 Di <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/Date: ' � ���11,� 7 School Impact Fee Credit: <br /> Structural Approved By/Date: �}�� � � F� Total School Impact Fee Owed: <br /> Comments: ` L Comments: /.r��C-\q.°J`'�J• ��. C-�y• OC1• '�`��C�,•�ti <br /> + ��o.��Cc,� t��,��Q.�� m`n � �2. �C'rC4�2C9i� {-- <br /> jCc2ev�Qc� �-j\' e ����rn� �s �no� ��si� ... <br /> �� ����^ V'� � ��ld�� �-�C.�+t\ +�- <br /> Intake OK by: Intake OK by: Ok to oute 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: /G� 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 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 />