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�����:�l�� � <br /> FOR OFFICE C1SE ONLY PERnner#l���D�S`�� <br /> BUILDING PLANNING <br /> Bldg/TI/Add e Size � �c.� �� Zoning Classification k �� <br /> Garage Size Overlay/Agreement <br /> VALUATION '� Nonresidential Use <br /> � <br /> Number of Stories Residential Use � F �`� <br /> Occupancy Group r Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: � ��1—� <br /> Basement No Yes Fi / Unfin Landscape or Planning Inspection <br /> Type of Construction �j needed before final? Yes_ No� <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: - <br /> Fire Sprinkler Required Yes No Phone#: �—�'— <br /> Reason Approve � Date: j�' << <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: �7 � School Impact Fee Credit: <br /> Structural Approved By/Date: Total School impact Fee Owed: <br /> Comments: � Comments: —�--- <br /> �j {4I � � � '���`��� <br /> Intake OK by: 11 11" � , Intake O b � Ok to r ute � o <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 f de <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: v <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 /> Z <br /> Z. <br />