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FOR OFFICE USE ONLY PERMIT# � �D� <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size � ,�s Zoning Ciassification ,j� — <br /> Garage Size Overlay/Agreement <br /> VALUATION ��� Nonresidential Use <br /> Number of Stories l Residential Use <br /> Occupancy Group Proposed No. of Dwelli g�(Jnits: <br /> Occupant Load Total No. of Dwe ' g Units: <br /> Basement No� Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction -" needed before final? Yes No <br /> Existing Sprinkler System? Yesr� No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: �� � Date: �� �� 2�l T <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: y�t/�� School Impact Fee Credit: � <br /> Structural Approved By/Date: Total School Impact Fee.-wed: <br /> Comments: Comments: � <br /> % <br /> Intake OK by: I� I� � Intake OK by: Ok to route Hold <br /> Make this a"W' ermit? Y No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(DentallMedical,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 Bidg Review Fee PW REVIEW: PW Reviewer. �� Date: //-%�''% 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 DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes '� No Existing Bidg._ <br /> Update/New Detection Yes c� 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 />