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FOR OFFICE USE ONLY PERMIT#�`� S -O�O <br /> ; . _ <br /> 6UILDINC�.: , . ''.. ; .. . .;' , PLANNINC�:. `:, . . ` <br /> BldglTl/Add Rem Size ��4v S� Zoning Classification "1� <br /> Garage Size "` Overlay/Agreement <br /> VALUATION ��� v� � Nonresidentiai Use <br /> Number of Stories � Residential Use ��^ <br /> Occupancy Group ��3 S � 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 U Q 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: s" � 0� <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes� No_ School Mitigation Reqd? Yes_ No� <br /> Reason ��S1c91�� 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: � �� �3 ? School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: �4 �� �} Intake OK by: Ok to route _ Hold _ <br /> Make this a"W Permit? Yes No <br /> :PUB,LIC WORKS <br /> FEES '. INTAKE: Checked By: Date: <br /> __ . _._...... . ...._.. ,.: ... _ � __ . . <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 reen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: 8•1 -/7 <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet Na sYs c�c.�Fia <br /> Systems Dev. Fee �PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee �IRL'D�PARTMENT . <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 /> �y* Z i� <br />