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FOR OFFICE USE ONLY PERMIT A V_ ` 1a44 <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 Inspe ion <br /> Type of Construction needed before final? Y-s_ No— <br /> Existing Sprinkler System? Yes— No Unk— Planning Inspector: <br /> Fire Sprinkler Required Yes_ No— Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes— No—Unk Historic Approved by Date: <br /> Fire Alarm Required Yes— No— School Mitigation '-qd? Yes— No— <br /> Reason Everett School D'.t Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New U'its: <br /> Add'I RCW 64.55 docs required prior . inal?Yes_ No_ Calculated S ool Impact Fee: <br /> Architectural Approved By/Date: / School Imp, t Fee Credit: <br /> �� �) <br /> Structural Approved By/Date: O7/J///S Total Sch..l Impact Fee Owed: <br /> Comments: Comme s: <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> — <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Anim- ,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffi' Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Rev' w(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concur nt Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Review Da : <br /> Water Fee 0 PW Permit Approve. -PW <br /> Sewer Fee 0 See PW Review .rksheet <br /> Systems Dev. Fee 0 PW Permit Not •equired <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New :prinklers Yes— No— Existing Bldg.— <br /> Update/N- Detection -Yes— No— Existing Bldg. <br /> Update/ ew Chemical Yes— No Existing Bldg.— <br /> Upd. -/New Fire Service Yes— No— Existing Bldg.— <br /> Approved by: Date: <br /> Comments: <br />