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FOR OFFICE USE ONLY PERMIT# Cit s -O l S <br /> BUILDING PLANNIN. '. <br /> n <br /> Bld /TI/ do/Rem Size 2(iZoning Classification (_ '0` <br /> Garage Size Overlay/Agreement <br /> VALUATION K .203 we Nonresidential Use (D,S <br /> Number of Stories 2'� Residential Use <br /> Occupancy Group 13 Proposed No. of Dwelling Units: <br /> Occupant Load .3'1' Total No. of Dwelling Units: <br /> Basement No_ Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction _Tr— B needed before final? Yes_ No )41 <br /> Existing Sprinkler System? Yes_ No?Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No' Phone#: <br /> Reason Approved by: Y...v\c4 Date: i0„(-7 <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No'>4 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:'? o Asie-o' School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: � . '/t'1 tq" Intake OK by: Ok to route Hold <br /> Make this a"W"Permit? !Yes No <br /> PUBLIC`.W.RKS .;. <br /> FEES INTAKE: Checked By: Date: <br /> Comments: <br /> Plan Check Fee � <br /> Building Permit a`'i U` ' 1.p"V to <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: Vt(.7 <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0-See PW Review Worksheet <br /> Systems Dev. Fee raiPW 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. 7 <br /> Update/New Chemical Yes— No Existing Bldg. <br /> Update/New Fir Service Yes_ No Existing Bldg._ <br /> Approved by: t�� Date: 0-7)/3 <br /> Comments: <br />