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FOR OFFICE USE ONLY PERnnir# G �,� � � ��� <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size Zoning Classification ' — <br /> ize � d' �,� ,$,� 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: C��� <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: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved b Date: � S ti� <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 Ow d: <br /> Comments: z��S ��� Comments: <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: ,r'��" ;�'i" Date: �� ���" <br /> Plan Check Fee Comments: (�f��� Ct"��d�?�'� �'b�i �'ti���t��z�F ,�;Y- 11�+.v ��.�"��ir'!,+�yy�, <br /> $�r �� <br /> Building Permit '���!Y� � ���"�� <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 gr en fvlder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer � 'T � Date. `�;"� � ;j..°j� <br /> Water Fee I�i! PW Permit Approved-PW_����'�',�.. +�,r'��t<;/� <br /> � tY� <br /> Sewer Fee ❑ See PW Review Worksheet A�r1� <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 /> Z <br />