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pyo <br /> FOR OFFICE USE ONLY PERMIT# rV��gO2,-w`l <br /> BUILDING PLANNING ". <br /> BldgITI/Addn/Rem Size Zoning Classification 1� " <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 r <br /> Type of Construction needed before final? Yes_ No NI(I( <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspector: '-- <br /> Fire Sprinkler Required Yes_ No_ Phone#: — <br /> Reason Approved by: ��$2_� Date: 2'/30/2.01y <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Alt )A Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No X <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: //4 n b/i g School Impact Fee Credit: <br /> Structural Approved By/Date: S Total School Impact Fee Owed: <br /> Comments: Comments: (� ,-n <br /> , 1`Od°�t 9 kAl/VN-S 4(.4% >Rt� Yat U S i <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/Medica,Animals,Mo 4ary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys ►`v Traffic Mit. -PBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public : Review ' dg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Per - oncurrent review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved- • <br /> Sewer Fee ❑ See PW Review W. sheet <br /> Systems Dev. Fee 0 PW Permit Not R-quired <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New sprinklers Yes_ No_ Existing Bldg._ <br /> Update/ -w Detection Yes_ No_ Existing Bldg. <br /> Updat: New Chemical Yes_ No_ Existing Bldg._ <br /> Up.:te/New Fire Service Yes_ No_ Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br />