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FOR OFFICE USE ONLY PERMIT# 5 tg-eeq <br /> BUILDING. PLANNING ; <br /> Bldg/TI/Addn/Rem Size Zoning Classification g- 1 <br /> Garage Size Overlay/AgreementQ� <br /> VALUATION Nonresidential Use _ tQ1a cQ I 044Q4 444 <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 Insp ion <br /> Type of Construction needed before final? es_ No_ <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by:(' Date: 114 2oAY <br /> Existing Fire Alarm Yes No Unk_ Historic Approved by: A- Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo School Di <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 F . <br /> Architectural Approved By/Date: y �GJ- 1 School Impact Fee Cre ' : <br /> Structural Approved By/Date: ( ( Total School Impact 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 I� i) <br /> Surcharge High Hazard Sites(Dental/Mescal,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 /> riot ret <br />