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FR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING <br /> Bld /TI ddn/Rem Size .5-000 4 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION ado 000 Nonresidential Use <br /> Number of Stories pZ Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No.4S Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction •' — Afsv""rd needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes -r4 No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes 6 No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes se 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: L IJi? L/71 111 School Impact Fee Credit: <br /> Structural Approved By/Date: '—"" Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Pe s - ( (M '/ 17' <br /> /fx0, --h.:ii.prie. fr <br /> Intake OK by: Intake OK by: Ok to route c.. 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 0 PW Permit Approved-PW <br /> Sewer Fee • See PW Review Worksheet <br /> Systems Dev. Fee 6 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: /(1 O fg.a6 <br />