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F•IR •FFICE USE ONLY PE'itfllT# Com.tgoS -02-9 <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 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 /> • <br /> • <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: •/ School Impact Fee Credit: <br /> Structural Approved By/Date: 4i `T/G 1/ l� 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 /> INTAKE: Checked B Date: <br /> : . FEES: '::: ' .'. :.: '.::.. ; :.': : � � ;: ,:., ,;. ; .. , ;: ': y. <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: 4s Date: 9/2-01 Zo V 1- <br /> Water Fee 0 P 'ermit Approved-PW <br /> Sewer Fee ❑ See P 'eview Worksheet <br /> Systems Dev. Fee 0 PW Permit .t Required k � <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE't?EPtARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes N/ 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:,&- Y JJ Date: 9—vzr- <br /> Comments: <br /> V <br />