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FOR OFFICE USE ONLY PERMIT# �I�2 '� w I <br /> BUILDING PLANNING <br /> Bld /TI/ dn/Rem Size t�O Zoning Classification ' �, <br /> Garage Size –� Overlay/Agreement "—" <br /> VALUATION �� ��L . Z� Nonresidential Use <br /> Number of Stories � Residential Use `—^ <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dweiling Units: <br /> Basement No Yes Fin I Unfin Landscape or Pianning 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 p Phone#: <br /> Reason (�jl(t�?IN�' Approved by � 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 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: � �(� Date:3 �n i'1 School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> �� <br /> Intake OK by:�� <br /> Intake OK by: Date: 2 �� ��' <br /> PUBLIC WORKS '' <br /> FEES INTAKE: Checked By: Date: 'fi `L <br /> Plan Check Fee Comments: � ��� <br /> Building Permit �" � <br /> Sul'Charge 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: Date: ?� 2�l <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 /> t <br />