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FOR OFFICE USE ONLY PERMIT# V- 1$c —003 <br /> BUILDING PLANNING <br /> Bldg/Tl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION I'SOi aoc' Nonresidential Use <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: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by: Date: <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 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: 91p School Impact Fee Credit: <br /> 1-1 <br /> Structural Approved By/Date: 7J 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 0\ 6114 I% <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ 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 VIEW: PW Reviewer: ,sa ivAr Date: 4426' , <br /> Water Fee 0 PW mit Approved-PW <br /> Sewer Fee ❑ See PW view Worksheet Ie,f' <br /> Systems Dev. Fee 0 PW Permit N equired �4g"r'/��Q , <br /> Traffic Mitigation Fee <br /> Public Works Fee s 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: &. -). ) I <br /> Comments: 4710 <br />