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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING. <br /> BldglTl/Addn/Rem Size /4 Zoning Classification - <br /> Garage Size Overlay/Agreement 1({‘Ml?m\(?j,.Q \1 1C <br /> VALUATION C29 Nonresidential Use <br /> Number of Stories Residential Use S � _ <br /> Occupancy Group Proposed No.of Dwelling Units: _.__ <br /> Occupant Load Total No.of Dwelling Units: C (1e. <br /> Basement No_ Yes_ 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: W rt0) Zo' ' <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: N 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: //Z6�/g School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2,p/5 /'ZC Comments: . = t. A " - - <br /> -X`Ou�! \� � �d �` how W\\ \kout Ov\( <br /> Intake OK by: du- Intake OK by: Ok to route ,eschN (x.% QHold <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: 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 green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: /Yl3 Date: /2-/Z '7 <br /> Water Fee ❑ 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 />