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� FOR OFFICE CISE ONLY � PERMIT# � I�O S ' �2--� <br /> BUILDING PLANNING <br /> � � <br /> BldglTl/Addn/Rem Size �%��16(,1% ,(��c� Zoning Classification �. ' .� <br /> Garage Size Overlay/Agreement � <br /> VALUATION �,� 0�� Nonresidential Use ��--�� <br /> Number of Stories Residential Use 'L,� � �' ; <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 t� <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: ----"~ <br /> Reason Approved Date: 7 ,�j(� <br /> Existing Fire Alarm Yes No Unk Historic Appr ved by: Date: .--="" <br /> .. <br /> �-"� <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes_ No_ �-'' <br /> Reason Everett School Dist Mukilte -b'EFiool 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 S Impact Fee: <br /> Architectural Approved By/Date: S �� Scho mpact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Z��S-�2 L 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(DentaUMedical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> MechaniCal Fee ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:�Date:S�}' �� <br /> Water Fee ❑ PW Permit Approved- PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee PW Permit Not Required � <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <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 /> 2 <br />