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FOR OFFICE USE ONLY PPERN <br /> # <br /> BUILDING � PLANNING <br /> Bldg/TI/Addn/ em Size pCiezi/ Zoning Classification Z''' <br /> Garage Size Overlay/Agreement <br /> VALUATION C Nonresidential Use _ <br /> Number of Stories / Residential Use <br /> Occupancy Group a 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 V-- 6 needed before final? Yes_ No X <br /> Existing Sprinkler System? Yes No_UnkX Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason `, Approved by: L Date: 3 - IS(-1 <br /> Existing Fire Alarm Yes_ No Unk ?4 Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes No )d <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes Nom #of Net New Units: <br /> Add''RCW 64.55 docs required prior to final?Yes Not Calculated School Impact Fee: <br /> Architectural Approved:•---/V4_ Date:x School Impact Fee Credit: <br /> Structural Approved: Date:J0/( I Total School Impact Fee Owed: <br /> Comments: Comments ' <br /> Qob1iL access requce ) <br /> Inter- aQ ro JQJ O5 oC( ssind� onli <br /> I1 r Intake OK by: J <br /> Intake OK by: At Date: <br /> • <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: B Date: 3-/5.-/7 <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge }High Hazard Sites(Dental,Medical,Animals,Mortua - --- - for RPBA) <br /> - <br /> Additional Plan Check El -•_ „.= - --. :- - . - '!; -NOT REQUIRE' <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: <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 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: <br />