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FOR OFFICE USE ONLY PERMIT#S 1 O1 -6 83 <br /> BUILDING <br /> PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification ` <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use 6 '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 7� <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by: Date: " / a / tO 1 <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: AI k Date: "'— <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo School ' <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add'1 RCW 64.55 docs required prior to final?Yes No Calculated School Impact F e: <br /> Architectural Approved By/Date: ,/j I School Impact Fee Cr it: <br /> v <br /> J <br /> Structural Approved By/Date: ��� /q/��g Total School Impac ee 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 `Y L(3\— �C64 <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 />