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FOR OFFICE USE ONLY PERMIT# J 1i 12.002 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification 1 le- <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential UseL- <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:r---�� <br /> Fire Sprinkler Required Yes_ No_ Phone#:--'— <br /> Reason Approvedd y���I Date: 121-7/l <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 - •ol 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 Sc • mpact Fee: <br /> Architectural Approved By/Date: 4$ \ I, ri Scho• pact Fee Credit: <br /> Structural Approved By/Date: To al 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 /> FEESINTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit A01- YNeAAPIZ42/ <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 ! FIREDEPARTMENT <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: l6- c7;) <br />