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FOR OFFICE USE ONLY PERMIT# ��80��D�L <br /> _ <br /> - ., � <br /> ����: �. . . ., �? �:� �BI�ILD#NG. ��. ;;:� ����.��� . � ��: �:��� ._.,. � PLA�lIw11N� :�'.. . ��: <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION ��8� �G' 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 Sprinkler Required Yes No Phone#: <br /> Reason Approved by: a Date: '—�j��� <br /> � <br /> Existing Fire Alarm Yes No Unk Historic Approved by: — Date: — <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes No X <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'I RCW 64.55 docs required prior to final?Yes No Calculated School Impact Fee: <br /> Architectural Approved By/Date: School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W"Permit? Yes No <br /> pug�:�c woRKs , <br /> ���+� ' INTAKE: Checked By: Date: <br /> _ . _ _ _ . __ _ <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 ❑ Route for Public Works Review(bidg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review{separate green folder) <br /> Ping BldgReview Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee ' � ' <br /> ;, FIF�lE:;DEPARTML,NT.: .- <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 /> � Z <br /> l .. <br />