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FOR OFFICE USE ONLY PERMIT# 1) �� <br /> > UILD_IN� <br /> PLANNING, <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Size <br /> 1)6.4_1< /3 F Overlay/Agreement <br /> VALUATION 2-4 3 Nonresidential Use <br /> Number of Stories Residential Use <br /> ► <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 0 needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved •• Date: /IS/// <br /> Existing Fire Alarm Yes— No—Unk_ Historic Appro -d by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo Sch.• % s <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• 'act Fee: <br /> Architectural Approved By/Date: t./2//7 Scho. pact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2,z7 - Comments: <br /> Intake OK by: in 7 I C/Ld to,T ,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 /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, Mortuary,etc-Review for RPBA) <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: J $ Date:cSS'/$-/ 7 <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 />