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Fo� oFFecE vs� oN�� PERMIT# � �7�`l- ��C�� <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification � <br /> Garage Size Overlay/Agreement -y��---� <br /> VALUATION Nonresidential Use '� j� ��(/r�-� <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dweliing 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: � e S� \/�'� t� <br /> Fire Sprinkler Required Yes No Phone#: `7� -�5 � � �3 <br /> Reason Approved b . Date: �Z ( <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/Date: School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: ����5 a� f����(,t✓�C�„ <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(bidg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:_�,��Date: y- ay '/ 7 <br /> Water Fee ❑ PW Permit Approved- PW <br /> Sewer Fee ❑ See PW Review Worksheet Q/C�zJ t� d���', <br /> Systems Dev. Fee � PW Permit Not Required h�� S�w c✓� c <br /> Traffic Mitigation Fee <br /> Public Works Fee �5�� ���������� <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 /> ���� <br />