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FOR OFFICE USE ONLY PERMIT#PYA. «p(.G. -o t g <br /> BUILDING PLANNING <br /> ',. . . . <br /> Bldg/Tl/Addn/Rem Size Zoning Classification I"`U. <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 Inspec 'on <br /> Type of Construction needed before final? Y s_ No I� <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: / �" <br /> Reason Approved by: `--� Date: Ui ( 1- [ <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: NIA-- Date: — <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No I <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. final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: �� School Impact Fee Credit: <br /> Structural Approved By/Date: lid.., 007%g 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 INTAKE: Checked By: Da <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(De ical, ' imals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys ev/ affic Mit.I RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Work- -eview(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit- •ncurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW --viewer: Date: <br /> Water Fee 0 PW Permit A. roved-PW <br /> Sewer Fee 0 See PW R; iew Worksheet <br /> Systems Dev. Fee 0 PW Pert It Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee ,, FIRES DEP RTMENT <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: I <br /> Z <br />