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FOR OFFICE USE ONLY PERMIT# Ko -t -o <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: A School Impact Fee Credit: <br /> Structural Approved By/Date: Q �l Total School Impact Fee Owed: <br /> Comments: p'\O Comments: <br /> Intake OK by: LJ' 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:c � (�d/E44 „ oa �acme me Eq <br /> Building Permit , G <br /> Surcharge \"' • High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan CheckI ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing FeeCeN - <br /> "1"/ 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee N.. 0 Public Works Permit-Concurrent eview(separate gre; fol ger) <br /> Ping Bldg Review Fee PW R VIEW: PW Reviewer: Date: 5 i <br /> Water Fee64)1 A0 PW ermit Approved-PW <br /> :;: ev. <br /> r Fee ❑ See P Review Worksheet 'Ooq�i 4,1,0111 <br /> Fee 0 PW Per 1 Not Required Off( <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/New Fire a ice Yes_ No ( Existing Bldg. ` <br /> Approved by: � Date: r; -r3 <br /> Comments: <br />