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� F014 OFFICE USE ONLY � PERMIT# '�I���� ��� <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification � <br /> Garage Size Overlay/Agreement <br /> VALUATION �[ S� Z- � Nonresidential Use "`-- <br /> Number of Stories Residential Use � l, � � ��..�( <br /> Occupancy Group �.'( Proposed No. of Dwelling Units: —1 <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 <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: --�� <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by. Date: �� .� �a <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 ool 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: t ..S—.3'�i Scho mpact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Z �� ��`L Comments: <br /> , <br /> Intake OK by: � i ' 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 ❑ 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:�--��-�C'�'% <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 /> � <br />