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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING <br /> t , . PLANNING . ... <br /> Bldg/TI/Addn/Rem Size Zoning Classification (--2 <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 spection <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 b Date: 51( /øc 'rExisting 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 ' t <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 F . <br /> Architectural Approved By/Date: School Impact Fee Cr it: <br /> Structural Approved By/Date: c7%/A.4 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 /> - •lBuilding Permit 1(11-V. - <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 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: <br /> 1n � <br /> f `Wi[ #i i <br />