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FOR OFFICE USE ONLY PERMIT# � "d <br /> BUILDING PLANNING <br /> Bidg/TI/Addn/Rem Size Zoning Classification � <br /> Garage Size Overlay/Agreement �� <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use � L <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? Yes No 1/ <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: - -- - <br /> Fire Sprinkler Required Yes No Phone#: ---� <br /> Reason Approved 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�eYrool 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 Scho pact Fee: <br /> Architectural Approved By/Date: Schoo pact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: ���� i�� ��1� <br /> �u ` I (_,li�v �� ����:����- <br /> � �(, � � <br /> Intake OK by: ��/� � } Intake OK by: � � �k't rou e L�`' Hold <br /> Make this a "W" ermit? 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 evi w(separate gr n older) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: 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 /> �n�� �� .� 2�2 <br />