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FOR OFFICE USE ONLY PERMIT# 4\fkk2,-COCP <br /> BUILDING PLANNING • <br /> BIdgITI/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_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No— <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: Z.–.6 J o School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Ykol ►re td <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes_ No <br /> PUIBLIC WORKS <br /> INTAKE: Checked By:FDate <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 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-Concurrent Review(separate ee folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: 3 is <br /> Water Fee 0 P' Permit Approved-PW <br /> Sewer Fee 0 See Review Worksheet K1� 12-0136 Arial,. <br /> Systems Dev. Fee 0 PW Per I Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIDE bEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes / No Existing Bldg. <br /> Update/New Detection Yes / No Existing Bldg. <br /> Update/New Chemical YesM No / Existing Bldg. / <br /> Update/New Fir Service Yes^ No / Existing Bldg. / <br /> Approved by: ``I"t,(,� Date: <br /> Comments: J <br /> Z�� <br />