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FOR OFFICE USE ONLY PERMIT# � I�-O�-OS� <br /> � :. . ; . _. . � <br /> BUILDIN� . ' � . . � > . ;PLAN�IIN6�",__ . <br /> Bidg/TI/Addn/Rem Size Zoning Classification �j <br /> Garage Size Overlay/Agreement ' <br /> VALUATION 1� o� Nonresidential Use r 1► -- <br /> Number of Stories Residential Use <br /> �— <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: • Date: ��� '� <br /> Existing Fire Alarm Yes No_Unk Historic Approved by: � Date: � <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No �, <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: �1a'�' �'���� School Impact Fee Credit: <br /> Structural Approved By/Date: �- `J 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 /> �UBLIC WOR}�S <br /> : �F�F�, ;�, ;x 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(bldg fiolder, PW Worksheet) <br /> MeChaniCal Fee ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:��''�Date: 7�25"�7 <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 �IR�,D�PARTM�I�T, . <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 /> E <br /> ' � <br />