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FOR OFFICE USE ONLY PERit¢iIT# C,2-2.) <br /> - -` <br /> SUBLDIIN6 :.:, f PLLA-ii9IING . <br /> Bldg/TI/Addn/Rem SizeZoning Classification -1---- <br /> Garage Size ) Overlay/Agreement <br /> VALUATION ) Nonresidential Use IIIIIMIIIIIIIIIIII <br /> Number of Stories Residential Use IIIIIIMMIIIIIIIIII <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 /> IType of Construction needed before final? Yes_ No <br /> 'Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> 1m WO Reason Approved bf: Date: <br /> l Existing Fire Alarm Yes No_Unk_ Historic Approved by: Ii ODate: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No ) ,I Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes— No_ #of Net New Units: - <br /> jAdd'I RCW 64.55 docs required prior to final?Yes— No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: w ,44School Impact Fee Credit: r__ <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: `/5-- ifi, C Comments: <br /> Intake OK by: J ° ' Intake OK by: '`•--- Ok to route i Hold _ <br /> Make this a"W" Permit? Yes No CX <br /> PUBLIC WORKS <br /> .. FEES . _ Checked Y <br /> _ �INTAKE: B Date: ` <br /> Plan Check Fee Comments: <br /> Building Permit j <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev I Traffic Mit./RPBA-NOT REQUIRED <br /> j 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 /> I <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: ' j <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 1 p.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 /> 1 Comments:(j .. <br /> 3Ld <br />