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FOR OFFICE USE ONLY PERMIT# fit'(7(12 l4 <br /> BUILDING PL.Af NINC.. <br /> Bldg/TI/Addn/Rem SizeZoning Classification R- j <br /> Garage Size Overlay/Agreement <br /> VALUATION 3S- coo Nonresidential Use C�r�� <br /> Number of Stories I Residential Use Ji r`� <br /> Occupancy Group ( t Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: I <br /> Basement No_ Yeses in Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No V <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspector:--- <br /> Fire Sprinkler Required Yes_ No Phone#: ----- <br /> Reason Approved Date: i://///hr <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 Impact Fee: <br /> Architectural Approved By/Date: (frit /64'j School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Z `6-- `/2x..„ Et Comments: ---- <br /> Intake OK by: Intake OK Ok to route v 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 ❑ 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: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee See PW Review Worksheet <br /> Systems Dev. Fee PW Permit Not Required 4(( • <br /> Traffic Mitigation Fee <br /> Public Works Fee <br /> ': _.. ,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: Nt / ' <br />