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FOR OFFICE USE ONLY PERMIT# <br /> 4112---OC) \ <br /> BUILDING PLANNING. , <br /> Bldg/TI/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? 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: �/ - \,21+ School Impact Fee Credit: <br /> Structural Approved By/Date: i �( Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: , i,` ih Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Lermit? Yes No <br /> PUBLIC WORKS <br /> :c 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: KB Date: /2- 1-^/7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee XrPW 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/NewjService es_ No /Existing Bldg. .— <br /> Approved by: 1.14 Date: /Z,((—I <br /> Comments: I+C ..p-- ,34., ,J ND„ D ,✓ <br />