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FOR OFFICE USE ONLY PERMIT# Ev ( 0 —D L'' k <br /> BUILDING PLANNING - <br /> Bldg/TI/Addn/Rem Size Zoning Classification 1\1\ - <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use -reA� ( <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 4 <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by:(-- Date: 2-/21 I2C7k S' <br /> Existing Fire Alarm Yes No_Unk_ Historic Approved by: A,(r. Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No t4 <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: School Impact Fee Credit: <br /> Structural Approved By/Date: ' Total School Impact Fee Owed: \� _� <br /> Comments: Comments: �PACj , : pQX. �S� P-pj+�`�s -tck <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W" Permit? Yes No <br /> V_BL .WORKS <br /> FEES '! INTAKE: Checked By. Date: <br /> Plan Check Fee Comments: 1\1® pa) aem 0.,pitm„kr, <br /> Building Permit ,11 14; <br /> Surcharge High Sites(Dental/MedA im�ortuary,etc-Review for RPBA) <br /> g 9 <br /> Additional Plan Check 10 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 gre;n fo•er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: I- Date: F. aZ /r <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee .r0 See PW Review Worksheet <br /> Systems Dev. Fee gi 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: f' <br />