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FOR OFFICE USE ONLY PERMIT# s o"I <br /> BUILDINGPLANiJPLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification 8^� <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 I/ <br /> _ <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspector: ---- <br /> Fire Sprinkler Required Yes_ No Phone#: / <br /> Reason Approved by:e"–^ 8 Date: If/llr <br /> t <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'!RCW 64.55 docs required prior to final?Yes_ No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: y 8 School Impact Fee Credit: <br /> Structural Approved By/Date: 1 Total School Impact Fee Owed: <br /> Comments: / Comments: ,....--------- <br /> ‘,/ <br /> Intake OK by: Intake OK b Ok to route Hold <br /> Make this a"W"Permit? Yes No <br /> PUBLIC:WORKS <br /> FEES • INTAKE: Checked By. Date. io <br /> Plan Check Fee Comments: rid '7" <br /> Building Permit <br /> T(N (�� �� <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: 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 FIREDEPARTMENT <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: 1,/_t , <br /> wVoiZi/ <br />