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FOR OFFICE USE ONLY PERMIT# SMCn-0014 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification TLA UL--- <br /> Garage Size Overlay/Agreement "- __ <br /> VALUATION Nonresidential Use (✓U �1./cw/CAM blAS <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:411111101.111- ` Date: /jg / <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: School Impact Fee Credit: <br /> Structural Approved By/Date: ! ' Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hol• _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Dat- <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical, imals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/ raffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Wor, Review(bld older, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permi oncurrent Rev' (separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: P 'eviewe Date: <br /> Water Fee 0 PW Permit pprove <br /> Sewer Fee 0 See PW "eview Works et <br /> Systems Dev. Fee 0 PW Prmit 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 /> �2 <br />