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FOR OFFICE USE ONLY PERMIT # CA " ©2 <br />BUILDING <br />Bldg/TI6d Rem Size <br />Sbo <br />Garage Size <br />VALUATION <br />0 , <br />Number of Stories <br />Occupancy Group <br />{, <br />Occupant Load <br />Basement <br />No _ <br />Yes` Fin Unfin <br />Type of Construction <br />as <br />Existing Sprinkler System? <br />Yes <br />No Unk <br />Fire Sprinkler Required <br />Yes <br />No <br />Reason <br />Existing Fire Alarm <br />Yes <br />No Unk <br />Fire Alarm Required <br />Yes <br />No <br />Reason <br />RCW 64.55 MF worksheet req'd for permit? Yes _ No <br />Add'[ RCW 64.55 docs required prior to final? Yes No <br />Architectural Approved: <br />Date: <br />Structural Approved: <br />Date: <br />Comments: (-01 - !{T�,�` <br />Intake OK by: Date: <br />%%�-6c <br />FEES <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 />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />" -- <br />Nonresidential Use <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: ---- <br />Approved by: Date:�- <br />Historic Approved by: Date: --' <br />School Mitigation Reqd? Yes No <br />Everett School Dist Mukilteo School Dist <br /># of Net New Units: <br />Calculated School Impact Fee: �- <br />School Impact Fee Credit: <br />Total School Impact Fee Owed: <br />Comments: `(l \`� - O off {'0'�2 <br />G- e2o tCo� Ctw eA-attT <br />Intake OK by: <br />PUBLIC WORKS <br />INTAKE: Checked By: Date: t1-3 <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 />Eff Route for Public Works Review (bldg folder, PW Worksheet) <br />❑ Public Works Permit -Concurrent Review (separa)e green folder) <br />PW REVIEW: PW Reviewer: —Date: <br />❑ PW Permit Approved - PW / <br />❑ See PW Review WorksheetNj{� O St2O c40K l <br />PW Permit Not Required ��AfA lDtls aV <br />FIRE <br />DEPARTMENT <br />Update/New Sprinklers <br />Yes <br />No Existing Bldg._ <br />Update/ New Detection <br />Yes _ <br />No _ Existing Bldg. <br />Update/ New Chemical <br />Yes <br />No Existing Bldg. <br />Update/ New Fire Service <br />Yes <br />No Existing Bldg. — <br />Approved by: <br />Date: <br />Comments: <br />