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FOR OFFICE USE ONLY PERMIT # 8170 ( '0(o f <br />.. BUILDING.:" <br />PLANMINO, "_° <br />F. <br />BI"g/TI/Addn/Rem Size <br />Zoning Classification <br />Garage Size <br />Overlay/Agreement <br />VALUATION <br />OGO <br />Nonresidential Use <br />Number of Stories <br />Residential Use <br />Occupancy Group <br />Proposed No. of Dwelling Units: <br />Occupant Load <br />h <br />Total No. of Dwelling Units: <br />Basement <br />Nob Yes _ Fin / Unfin <br />Landscape or Planning Inspection <br />needed before final? Yes _ No <br />Type of Construction <br />— ,r n � <br />Existing Sprinkler System? <br />Yes Z` No Unk <br />Planning Inspector: <br />Fire Sprinkler Required <br />Yes No— <br />Phone #: <br />Reason <br />Approved by: Date: <br />Existing Fire Alarm <br />Yes _ No _ Unk_ <br />Historic Approved by: Date: <br />Fire Alarm Required <br />Yes Noe <br />School Mitigation Reqd? Yes No <br />Reason <br />Everett School Dist Mukilteo School Dist <br />RCW 64.55 MF worksheet req'd for permit? Yes N <br /># of Net New Units: <br />Add'I RCW 64.55 does required prior to final? Yes N <br />Calculated School Impact Fee: <br />Architectural Approved By/Dat®� 7 )7 <br />School Impact Fee Credit: <br />Structural Approved By/Date: <br />Total School Impact Fee Owed: <br />Comments: <br />Intake OK by: <br />Comments: <br />Intake OK by: Ok to route Hold _ <br />Make this a "W" Permit? Yes No <br />PUBLIC, WORKS <br />INTAKE: Checked By: Date: <br />Comments: <br />High Hazard Sites (Dental/Medical, Animals, Mortuary, etc -Review for RPBA) <br />❑ Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED <br />❑ Route for Public Works Review (bldg folder, PW Worksheet) <br />❑ Public Works Permit -Concurrent Review separate green folder) <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />PW REVIEW: PW Reviewer: Date: <br />❑ PW Permit Approved - PW <br />❑ See PW Review Worksheet <br />❑ PW Permit Not Required <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />" FIRE DEPARTMENT <br />School Mitigation Fee <br />Update/New Sprinklers <br />Yes No Existing Bldg._ <br />Update/ New Detection <br />Yes _ No Existing Bldg. _ <br />Update/ New Chemical <br />Yes No Existing Bldg. _ <br />Update/ New Fire Service lYes <br />No Existing Bldg. _ <br />Approved by: Date: <br />Comments: <br />