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FOR OFFICE USE ONLY PERMIT#��� I '" ��� <br /> , ,. _ <br /> , B1JILDIN� ..:' . :- 'PLAMNING�..'_ � <br /> BldglfUAddn/Rem Size Zoning Classification � <br /> Garage Size Overlay/Agreement -� <br /> VALUATION Nonresidential Use �I�¢�'6'� �t�1� <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: �• Date: ��L'�11 <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 Galculated 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 /> RU�L�C.WORKS, <br /> F���, ,`: 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 folder, PW Worksheet) <br /> MechaniCal Fee ❑ Public Works Permit-Concurrent Review separate reen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: �Z�3 7 <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee PW Permit Not Re ' d <br /> Traffic Mitigation Fee <br /> ,.- , . ;;.�:� <br /> Public Works Fee � �� �.; ,�IRE:� ,�PARTMENT �'�'' �� �� <br /> School Mitigation Fee Update/New Sprinklers Yes No Existing Bldg. <br /> Update/New Detection Yes_ No xisting Bldg. <br /> Update/New Chemical Yes No Existing Bldg. <br /> Update/New Fire ervi Yes No Existing Bldg. <br /> Approved by: Date: ►Z-1 -{ <br /> Comments: "'� �---.� <br /> � � v � <br />