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FOR OFFICE USE ONLY PERMIT# VA kcI,o' -059 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification 1. 'Z <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 Plannin• nspection <br /> Type of Construction needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by�~ Date:L4 l 1,0/7,ot <br /> Y- <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: ark Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No IL <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!RCW 64.55 docs required prior to final?Yes No , Calculated School Impact Fee: <br /> Architectural Approved By/Date: r� .4" ofti /es- School Impact Fee Credit: <br /> Structural Approved By/Date: - ' / 0%z#018 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 /> PUBLIC WORKS.. <br /> FEES :'': • INTAK . Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(D-'tal/Medical,Animals,Mortu. ,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys 'ev/Traffic Mit -PBA- NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Work -evie, .Idg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Conc , . t Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW R;- ewer: Date: <br /> Water Fee 0 PW Permi • .proved-PW <br /> Sewer Fee 0 -- - 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: (t) <br /> Comments: <br />