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FOR OFFICE USE ONLY PERMIT# ? so2-2\ <br /> BUILDING • • : PLANNING • <br /> Bldg/TI/Addn/Rem Size Zoning Classification -'�1° 2_- // <br /> Garage Size Overlay/Agreement S (7 lt'P flm <br /> VALUATION Nonresidential Use T. ?aAa I//A <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: 34/115` <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: 1 ' t' School Impact Fee Credit: <br /> Structural Approved By/Date: 2 lfl�r Total School Impact Fee Owed: <br /> Comments: Comments: <br /> ,o ( tL <br /> Intake OK by: Intake 0' sy: Okto route _ Hold <br /> Make this a"W"Permit? Yes_ No_ <br /> PUBLIC WORKS. <br /> FEES : • INTAKE: Checked y: Date. <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 gre n f der) <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 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: <br /> :WO" <br />