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FOR OFFICE USE ONLY PERMIT# Ffl rlf19 D <br /> BUILDING PLANNIN.0 <br /> Bldg/TI/Addn/Rem Size Zoning Classification 4kS,I V\O\ <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 sppction <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: u I 0{2,d01" <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 S -sol 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 Impac "ee: <br /> Architectural Approved By/Date: 4 1$ School Impact Fee edit: <br /> Structural Approved By/Date: Total School Im•-ct Fee Owed: <br /> Comments: Comments: <br /> Intake OK by:37.tM.• Intake OK by: Ok to route _ Hold <br /> Make this a"W"Permit? Yes_ No <br /> .• PUBLIC,WORK <br /> FEES., 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 ❑ 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 • FIREDEPARTNIRNT <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 /> 6 /24 <br />