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FOR OFFICE USE r•NLY PERMIT t � 'O .0 <br /> BUILDING PLANNING <br /> BId /TI Addn/Rem Size 1+0a Zoning Classification — t__�/ <br /> _ <br /> Garage Size '— Overlay/Agreement <br /> VALUATION J 8 Ooc> Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group F — Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No X Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction L ¢. needed before final? Yes__. No <br /> Existing Sprinkler System? Yes )l No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes k No_ Phone#: <br /> Reason Approved by: S` Date: Z <br /> Existing Fire Alarm Yes?t No_Unk_ Historic Approved by: Ai t Date: <br /> Fire Alarm Required Yes k No_ School Mitigation Reqd? Yes_ No <br /> Reason s^{l`rq Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes— No X #of Net New Units: <br /> Add'i RCW 64.55 docs required prior to final?Yes_ No X Calculated School Impact Fee: <br /> Architectural Approved By/Date: 'f ` School Impact Fee Credit: <br /> Structural Approved By/Date: r ' `� 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 ❑ PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee PW Permit Not Required all (t �(w <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 /> zi2 � <br />