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FOR OFFICE USE ONLY PERMIT# (7 f l -O LE <br /> BUILDING :: PLANNING:: . <br /> Bldg/TI/Addn/Rem Size Zoning Classification (4.5 1 k s.X <br /> Garage Size Overlay/Agreement � " <br /> VALUATION Nonresidential Use V...S.\QtAe/4\4\ <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 \i. <br /> Existing Sprinkler System? Yes_ No—Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: C----'�.'.� \O/1t01 r�J,'`� <br /> Reason Approved by: Date: l <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: `----- <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No c <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 /> I <br /> Architectural Approved By/Date: 4i. t f 11_ School Impact Fee Credit: <br /> Structural Approved By/Date: .`I " i 1 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-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 0 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 />