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FOR OFFICE USE ONLY PERMIT# Ci).)k'ZIO3 -05(.0 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <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 <br /> Type of Construction needed before final? Yes o <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: <br /> Existing Fire Alarm Yes No Unk <br /> Historic Approved b • Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd Ati No <br /> Reason Everett School Dist Mukilte,, 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 Schoo Impact Fee: <br /> Architectural Approved By/Date: cd4I-- (za 1.3. School Impact ee Credit: <br /> Structural Approved By/Date: Total Schoo mpact Fee Owed: <br /> Comments: Zo Commen <br /> Intake OK by: (J114' Intake OK by: Ok to route Hold <br /> Make this a"W"Permit? Yes K;.) <br /> PUBLIC WORKS •... <br /> • <br /> FEES INTAKE INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Re ew for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-N• REQUIRED <br /> Plumbing Fee 0 Route for Public Works Revie (bldg folder, P Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent R-view sepal. e green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: •-te: <br /> Water Fee 0 PW Permit Approved-P <br /> Sewer Fee 0 See PW Review Work 'eet <br /> Systems Dev. Fee V 0 PW Permit Not Required 'p <br /> Traffic Mitigation Fee <br /> Public Works Fee F E DEPARTMENT • • • <br /> School Mitigation Fee Update/New Sprinkl: s Yes No Existing Bldg. <br /> Update/New De '-ction Yes No Existing Bldg. <br /> Update/New • emical Yes No Existing Bldg. <br /> Update/N: Fire Service Yes No Existing Bldg. <br /> Approv- by: Date: <br /> Com I-nts: <br />