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FOR OFFICE USE ONLY PERMIT# I$b()2-0% <br /> BUILDING PLANNING...;. <br /> Bldg/TI/Addn/Rem Size Zoning Classification 'LAv` <br /> Garage Size Overlay/Agreement \^ <br /> VALUATION Nonresidential Use C �l A <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:C Date: L 12 2 12C <br /> Existing Fire Alarm Yes_ No—Unk_ Historic Approved by: IJ ` Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ Not_ <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 prio to final?Yes_ No Calculated School Impact Fee: <br /> Architectural Approved By/Date: l,g School Impact Fee Credit: <br /> Structural Approved By/Date: f Total School Impact Fee Owed: <br /> Comments: h����Y� �,�� ���, f-ae.-0,G07 Comments: <br /> — .rtti� -rte s^c�wc rru c <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS. <br /> FEES <br /> INTAKE: Checked B <br /> r y: 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: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> 0 <br /> Sewer Fee See PW Review Worksheet If\U, v rn.3 ws\A <br /> Systems Dev. Fee ►�` PW Permit Not Required U (S ) I <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: <br />