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FOR OFFICE USE ONLY PERMIT# J k oR r. 3 <br /> BUILDING <br /> PLa4�IVING" ` <br /> BldgiTl/Addn/Rem Size Zoning Classification (, I <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use ee ASI G., <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— NoX <br /> Existing Sprinkler System? Yes_ No—Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved by: (r..., 1 Date: 'O' r -Fl <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 'nal?Yes No_ Calculated School Impact Fee: <br /> Architectural Approved By/Date: � 101,,,/���- School Impact Fee Credit: <br /> Structural Approved By/Date: <br /> I <br /> 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: 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: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee Flla DEPART NT . <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 />