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) <br /> FOR OFFICE USE ONLY PERMIT# U/U [1U -002--"" <br /> ~n�i'�Q������� <br /> ��NL�������`�� '�J��,�sy�������:� `7.�.i�/���.f�`.'l`.�������'`����mxmw����"s��|�i�'��3�!.i'�i'��`��:( <br /> B Size VE:-X/ Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> � <br /> Number of Sthao « Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No:•4 Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction ' needed before final? Yes No <br /> Existing Sprinkler System? Yes NnUnkP|onhinQ|nopeotor: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes NnUnkHistoric Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No <br /> Reason Everett School Dist K8uki!b*oSchool Dist <br /> ____ <br /> RCW 64.55 ME worksheet reqd for permit? Yes No #of Net New Units: <br /> Adu'|aCxxy4.asdvconaqviremphorhofino|rvenNo Calculated School Impact Fee: <br /> � � '0�& <br /> Architectural ��� <br /> �ppn�x�d8y/Dote� �/ � � /1: School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: -Z.,c7 tsc' Comments: <br /> Intake OK by: Intake OK by: Ok to route Hold <br /> Make this a"W"Permit? Yes No <br /> . S '"^- ' . .''' ` '` 1'`'�` .�U''' <br /> ����U���^�e���.����?��� ��,`�'�"�,�.^���.� <br /> •:::. Checked �� Date <br /> ����������evs� INTAKE:. 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 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee �[� <br /> � Puo|iommmoPennit-Cvnounontuoview(eaparateomenfomor) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee U See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> pubUoVVodmFee '���� ��������?��'��ff��'\�FI |�Nir��������/��|���{'�'\`�:����School Mitigation Fee Update/New Sprinklers Yes NnExisting Bldg. <br /> __ <br /> Update/New Detection Yes NoExisting Bldg. <br /> ___ <br /> Update/New Chemical Yes NoExisting Bldg. <br /> ___ <br /> Update/New Fire Service Yes No__. Existing Bldg. <br /> ___ <br /> Approved by: Date: <br /> Comments: <br /> (71-4/ <br />