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FOR OFFICE USE ONLY M PERMIT #��� <br />BUILDING <br />PLANNING <br />00 Bld I/Addn/Rem Size <br />FZoningsification <br />Garage Size <br />'" <br />veraygreement <br />VALUATION <br />[ Q�/Q <br />Nonresidential Use <br />e <br />Number of Stories <br />/ <br />Residential Use <br />�"-- <br />Occupancy Group <br />Proposed No. of Dwelling Units: <br />Occupant Load <br />Total No. of Dwelling Units: <br />Basement <br />No Yes— Fin / Unfin <br />Landscape or Planning Inspection <br />needed before final? Yes - No <br />Type of Construction <br />-�$� <br />Existing Sprinkler System? <br />Yes _ NZ_ Unk_ <br />Planning Inspector: <br />Fire Sprinkler Required <br />Yes No'�_ <br />Phone #: <br />Reason <br />_ <br />Approved b Date: <br />Existing Fire Alarm <br />Yes _ No\_, Unk_ <br />Historic Approved by: N Date: '— <br />Fire Alarm Required <br />Yes No �` <br />School Mitigation Reqd? Yes _ No <br />Reason <br />I <br />Everett School Dist Mukilteo School Dist <br />RCW 64.55 MF worksheet req'd for permit? Yes N <br /># of Net New Units: <br />Add'I RCW 64.55 docs required prior to final? Yes N <br />Calculated School Impact Fee: <br />Architectural Approved By/Date: Z-AET /Z)Zjg�2'7School <br />Impact Fee Credit: <br />Structural Approved By/Date: <br />Total School Impact Fee O d: <br />Comments: <br />Intake OK by: 2�✓ <br />Comments: <br />Oqkte°��'�J ��� `Per �t�4 �� �i�1 � 7 <br />Intake OK by: Ok to route Hold _ <br />Make this a "W" ermit? Yes No <br />PUBLIC W©RKS <br />nl FEES <br />INTAKE: Checked By: Date: <br />Comments: <br />High Hazard Sites (Dental/Medical, Animals, Mortuary, etc -Review for RPBA) <br />❑ Public Works / Sys Dev / Traffic Mit. / RPBA - NOT REQUIRED <br />❑ Route for Public Works Review (bldg folder, PW Worksheet) <br />❑ Public Works Perm it-Concurren eview (separate green folder) <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />PW REVIEW: PW Reviewer: Date: ZiZ <br />❑ PW Permit Approved - PW <br />❑ See PW Review Worksheet <br />PW Permit Not Required <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />""FIR DPARTIVIENT"" <br />School Mitigation Fee <br />Update/New Sprinklers <br />Yes No Existing Bldg._ <br />Update/ New Detection -Yes <br />No Existing Bldg. _ <br />Update/ New Chemical <br />Yes No fisting Bldg. _ <br />Update/ New Fire ery <br />a <br />Yes No Existing Bldg. _ <br />Approved by: <br />Date: IZ.-4-1 <br />Comments: <br />