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I ' <br /> FOR OFFICE USE ONLY PERMIT# \11 610 <br /> BUILDING PLANNING <br /> Bldg/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 <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'I RCW 64.55 docs required prior t•final?Yes No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: PSchool Impact Fee Credit: <br /> Structural Approved By/Date: `I. IP1( 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 /> 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-Concurren Review(separate gr en fol er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer. -f Date: <br /> Water Fee 0 P Permit Approved-PW <br /> :;: ev. <br /> r Fee ❑ See P eview Worksheet v —NO <br /> Fee ❑ PW Permit equired ��� <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPA TMEN7 <br /> School Mitigation Fee Update/New Sprinklers Yes No_ Existing Bldg_ <br /> Update/New Detection Yes_ No_ Existing Bldg. <br /> Update/New.Chemical Yes I/ No_ Existing Bldg._ <br /> Update/New Fire Service Yes No Existing Bldg. <br /> Approved by: w Date: 9-12,-' <br /> Comments: <br /> (r1,1 <br />