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FOR OFFICE USE ONLY PERMIT# rn ritn-u--1 <br /> BUILDING PLANNIN <br /> Bidg/TI/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 Planning Inspection / <br /> Type of Construction needed before final? Yes_ No V <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: --7 <br /> Reason Approve- Date: �T <br /> /..21?// • <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: -- Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No 1� <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: Ma. ( v/I/17 School Impact Fee Credit: <br /> Structural Approved By/Date: `. el2l(1. Total School Impact Fee Owed: <br /> Comments: 0 J Comments: <br /> Intake OK by: ,\13114.E. 28� 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 /> Y\33) <br /> �WT � <br /> Building Permit ) <br /> ,,‘�&t <br /> Surcharge High Hazard Sites(Den�dical,Animals,Mortuary,etc-Review for RPBA) <br /> 9 <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 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 />