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FOR OFFICE USE ONLY PERMIT# til IgO q —045 <br /> BUILDING PLANNING <br /> Bldg/Tl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 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? Y s_ 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 pact Fee: <br /> Architectural Approved By/Date: School Impact F e Credit: <br /> Structural Approved By/Date: �,, , ©T /jio Total School pact Fee Owed: <br /> Comments: Comments: <br /> r <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/Medi I, '- mals, •rtuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys De Ni*. is i t./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Work\'-vi:, (bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concu -nt Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Revie er: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Revie, orksheet <br /> Systems Dev. Fee 0 PW Permit .t Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE>DEPARTMENT <br /> School Mitigation Fee Update/ -w 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: E.,---;(--) <br />