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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING <br /> Bldg/Tl/Addn/Rem Size Zoning Classification <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 Inspection <br /> Type of Construction needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspector:----- <br /> Fire <br /> nspector:-"""Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approve Date: Ca /Ir <br /> Existing Fire Alarm Yes_ No—Unk_ Historic Approved by:- -- Date:/ <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No V <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!RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: <br /> Architectural Approved By/Date: 6 }1/1.0\ iv <br /> School Impact Fee Credit: <br /> Structural Approved By/Date: �( �/ Total School Impact Fee Owed: <br /> Comments: 24a.skri PP (2� 41,..3cV,-ke. a . Comments: ---- <br /> 7 0(.C..,0( ll , s. r, eot <br /> Ccs?ariwan ari- rFarr-lu:,rv4 101-", <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W" Permit? Yes_ No <br /> PUBLIC WORKS. <br /> 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 <br /> .. FIRE;DI=PARTMENT; .. . . <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 /> C---/.7---- <br />