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FOR OFFICE USE ONLY PERMIT#_ - - 3 �QD1 <br /> BUILDING <br /> PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <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 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: <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Y•s 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 Im.act Fee: <br /> Architectural Approved By/Date: fi411 l School Impact Fee ' redit: <br /> Structural Approved By/Date: Total School Imp. t Fee Owed: <br /> Comments: Comments: <br /> Intake OK bik c /o//zo/a' Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WOR <br /> FEES INTAKE: Checked By: late: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical, nimals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/ !affic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Con urrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Revieer: Date: <br /> Water Fee 0 PW Permit Approv:d-PW <br /> Sewer Fee 0 See PW Review ' orksheet <br /> Systems Dev. Fee 0 PW Permit Not r equired <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sp inklers 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 />