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FOR OFFICE USE ONLY PERMIT# „, <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification 2-3 <br /> Garage Size Overlay/Agreement YID R <br /> VALUATION Nonresidential Use \th1 1 SS lU` c(Le ef-±) <br /> Number of Stories <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 V <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#:Reason Approved Date: 20 /ig– <br /> Existing <br /> 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: �� 2'/��i School Impact Fee Credit: <br /> Structural Approved By/Date: , (/ Total School Impact Fee Owed: <br /> Comments: Comments: —� <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/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-Concurren Review(separate gr n fo der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:,. Date: zen <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Workshee <br /> Systems Dev. Fee KPW Permit Not Required/ ,('j dint+ �$�Qt L/6 <br /> Traffic Mitigation Fee r l <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 Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: noNikuitedZ <br /> „21z <br />