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FOR OFFICE USE ONLY PERMIT# S kO <br /> BUILDINt PLANNING.. <br /> Bldg/TI/Addn/Rem Size Zoning Classification C <br /> Garage Size Overlay/Agreement \ - <br /> VALUATION Nonresidential Use Ce,"C0.1\ <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: `\ I '4 l 2C5 -3- <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: 1` >t 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!RCW 64.55 docs required prior to final?Yes No Calculated School Impact Fee: <br /> Architectural Approved By/Date: '_/ rt School Impact Fee Credit: <br /> • <br /> Structural Approved By/Date: 1# �b 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 /> F ES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit rthi <br /> Surcharge High Hazard Sites(Dental/Me ical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 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 FIR :DIrPARTMENT <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: ( vio <br />