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FOR OFFICE USE ONLY PERMIT# K«-0 8 -bZfv <br /> BUILDING • PLANNING <br /> Bldgf l/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION '5,,rvo 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'I RCW 64.55 docs required prior to final?Yes No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: , q School Impact Fee Credit: <br /> Structural Approved By/Date: J�21I 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 R VIEW: PW Reviewer: ' Date: 7/10/7412-- <br /> Water Fee 0 PW ermit Approved-PW <br /> Sewer Fee 0 See Review Worksheet <br /> Systems Dev. Fee 0 PW Per. it Not Required / .01 0 a2 6 <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 Idg. <br /> Approved by: !' v Date:g�/'Z/ <br /> Comments: <br /> ( llel <br />