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FOR OFFICE USE ONLY PERMIT# 5(74°4-0(3 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification Z. "AX <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 /> Reason Approved by:CQQ L..i Date: t r-2.-Lt (`A-' <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: _0_, <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No_ 1 -DLO <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: ' { t <br /> Architectural Approved: M Date:1.�2 ��� 1 <br /> School Impact Fee Credit: -'t S f <br /> Structural Approved: I Date:'rj IL F- Total School Impact Fee Owed: <br /> Comments: Comments: EVTE. \®-00S 0 <br /> Intake OK by: <br /> Intake OK by: Date: <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 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: 7515 Date: 2- 2/ 7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee ✓r 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 />