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FOR OFFICE USE ONLY PERMIT# —003 <br /> E.._t _»..... BUILDING ;s K Y S mss .4...... .... >f..,PY k G P NNING4. f;w ........ <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION CO 8,6 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_ <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: Date: <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'l RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved: /Date: 1 1 School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes_ No_ <br /> Pini�.�`'esr�n.+;u��y+rxtele/a�:�r �c m,w +x1 11y13a�{rs 8 a`" c1111 <br /> fonoi"S@ 2c� a�xt to§ t yA,c,is xF 3 2 F�'Y tAivc;a''s5�R tui <br /> S �, ,�� F{ eye t i�f 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: /lam Date: g /8`/7 <br /> Water Fee TZIPW Per l it Approv- -PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee p 77y� AA7� <br /> Public Works Fee 1�.�:,k .Y.;.��':i,�<...,_��,_.;�. M .....�.. < ,,_.MA <br /> School Mitigation Fee Update/New Sprinklers Yes / No_ Existing Bldg._ <br /> Update/New Detection Yes_ No c* Existing Bldg. <br /> Update/New Chemical Yes No 1 Existing Bldg. <br /> Update/New Fire Service Yes NogExisting Bldg._ <br /> Approved by: �' Date: <br /> Comments: <br /> � I� <br />