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FOR OFFICE USE ONLY PERMIT# ICI L 11i' dI 1 <br /> BUILDING 'PLANNING. <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION ?..1367(c) 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.'RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: qSchool Impact Fee Credit: <br /> Structural Approved By/Date: i l l l/14 Total School Impact Fee Owed: <br /> G <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 ❑ 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-Concurre Review(separate gre n fo der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: 7 <br /> Water Fee 0 P ermit Approved-PW <br /> Sewer Fee 0 See P eview Worksheet � ( ��Q�( <br /> Systems Dev. Fee 0 PW Permit Required f <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPA TMENT <br /> School Mitigation Fee Update/New Sprinklers Yes No_ Existing Bldg._ <br /> Update/New Detection Yes No_ Existing Bldg. <br /> Update/New Chemical YesNo_ Existing Bldg.— <br /> Update/New Fire Service Yes No_ Existing Bldg. <br /> Approved by:� 4-' . J Date: 1— S2'l <br /> Comments: ��"` <br />