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FOR OFFICE USE ONLY PERMIT# 059— <br /> BUILDING PLANNInNnG n� <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 Unit • <br /> Occupant Load Total No. of Dwelling Unit . <br /> Basement No_ Yes Fin / Unfin Landscape or Plann' g Inspection <br /> Type of Construction needed before fin= ? Yes_ No_ <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by(- Date: 0t ('Z_ 20\� <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 to final?Yes_ No Calculated School Impac --e: <br /> Architectural Approved By/Date: ` f9 J7j / School Impact Fe- 'redit: <br /> Structural Approved By/Date: , h 11 (� Total School pact Fee Owed: <br /> Comments: Comme : <br /> Intake OK by: Intake OK by: Okto route Hold _ <br /> Make this a"W"Permit? Yes No <br /> P C WORKS, <br /> FEES INTAKE: Checked B • Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(De tal/ edica,Ani als,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/S Dev/Tra Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Wo - '-view(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 ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ 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 />