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l <br /> ' FOd� OFFICE U$E ONLY PERMIT# ��` ��(O���%� <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size Zoning Classification ''_ � !� <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <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 Plann�ng Inspection <br /> Type of Construction needed before final? Yes_ No '�., <br /> Existing Sprinkler System? Yes Nc� Unk Planning Inspector: <br /> Fire Sprinkier Required Yes No Phone#: <br /> — — � ,� „ ,�'�' , ' 'i <br /> Reason Approved by: �� _ ��� Date: �� v � <br /> Existing Fire Alarm Yes Nc� 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: � � 7 Total School Impact Fee Owed: <br /> Comments: Comments: .�., <br /> �I1�'1 t 1—�j Tv N�tis � Z-rx-UL�'1X�L "� �kQ:,'';��'`' ,u�-���- �,1,�eLzR,�%� <br /> ,� �� � <br /> i <br /> ��tvl.o U�T1al ... � <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(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:�O-�g' / 7 <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 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 /> � 2 <br />