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FOR OFFICE USE ONLY PERMIT# <br /> BUfLING PLANNING. <br /> Bldg/TUAddn/Rem Size Zoning S'tG Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Oc7 Nonresidential Use <br /> Number of Stories 7_.. Residential Use `'(( / k&A\\ ``'y <br /> Occupancy Group L4 Proposed No. of Dwelling Units: <br /> Occupant Load 6.)Yes04 <br /> Total No. of Dwelling Units: <br /> BasementFin / 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 bY:CS2 <br /> C Date: 15-11q W� <br /> L 2 <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: )3(A- Date: -_ <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo Scho ist <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: • -1--frfr ��// School Impact Fee Credit. <br /> Structural Approved By/Date: Total School Impact F Owed: <br /> Comments: - /e G bor6c. Comments: <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS, <br /> FEESINTAKE: Checked By: Date: <br /> .. .-.. ........_ <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 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 0 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 /> Z2' <br />