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FOR OFFICE USE ONLY PERMIT# <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_ No_ <br /> Existing Sprinkler System? Yes_ o_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved b . Date: 7 (( g/ <br /> Existing Fire Alarm Ye;' No_Unk_ Historic Approved by: -- Date: <br /> Fire Alarm Required es_ No_ School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF workshee req'd for permit? Yes_ No #of Net New Units: <br /> Add'I RCW 64.55 docs r-quired prior to final?Yes'= o_ Calculated School Impact Fee: <br /> Architectural Appro ed By/Date: School Impact Fee Credit: <br /> Structural Approv;• By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> P" ;BLIC`WORKS <br /> FEES, INTAKE: Checked By: Date: `�0�g` <br /> Plan Check Fee Comments: /'f irr_, In Ey.p&ida' 111 4,44A, <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee )21/ Public <br /> for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee p5! 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: 7� <br /> /�f <br />