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FOR OFFICE USE ONLY PERMIT# l$0`F-DD(o <br /> . BUILDING PLANNING <br /> BideAddn/Rem Size d Zoning Classification <br /> Garage Size j c� Overlay/Agreement <br /> VALUATION l l 7,, Li f'J Nonresidential Use <br /> Number of Stories ?rol Residential Use <br /> Occupancy Group 1 Proposed No.of Dwelling Units: <br /> Occupant Load H JA 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 ?3 No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes ZS No_ Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes Y 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_ N #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: –2 J,'47/2.4 School Impact Fee Credit: <br /> Structural Approved By/Date: -- Total School Impact Fee Owed: <br /> Comments: Comments: <br /> a\ANN, 8few ,ted Gta,_ <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W" ermit? 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 El 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: <br />