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�w , , �, FOR OFFICE USE ONLY PERMIT#��� �� <br /> BUIL�INC-.,' ; ;: <br /> , <br /> : PLAN�IWC _: <br /> Bldg/TIlAd /Rem Size 0 $� Zoning Classification <br /> Garage Size --- Overlay/Agreement <br /> VALUATION � 3 OU Nonresidential Use <br /> Number of Stories a" Residential Use a'r <br /> Occupancy Group � °1 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 A needed before final? Yes No X <br /> Existing Sprinkler System? Yes � No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes ?� No Phone#: <br /> Reason 'GZC�S7(IVI�- Approved by: Date: — �� <br /> Existing Fire Alarm Yes IO No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes `� No School Mitigation Reqd? Yes_ No <br /> Reason ��c ls��a 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: m�� (-�'� a.(o School Impact Fee Credit: <br /> Structural Approved By/Date: � � (fl Total School Impact Fee Owed: <br /> Comments: (��(.-(,�S Nn� �r ���/(,� Comments: <br /> S QI�-��l,e�M �I�1 ea/� cN'' s�2� ,�,JD <br /> ��Q 1�• <br /> Intake OK by: � �����` Intake OK by: �`-�� Ok to route Hold � <br /> Make this a"W" rmit? Yes No <br /> � � ., , , �. , . <br /> � , . <br /> AUB,LI�WORK�. `, <br /> �` � INTAKE: Checked B Date: � �� <br /> � � � �,.F���3 .� � ,'i . �, � � <br /> _ :: i: , . y: <br /> � Plan Check Fee Comments: <br /> ���1�3-� 'S�e.�kf Q�t,�JL.� <br /> Building Permit ��Q � ��,�� �y,qq�ty;�� � <br /> t. <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-ReviC�RP A) <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 green folder) <br /> Ping Bldg Review 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 ' ';' ,:,, FIR�,D�PARTM�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 /> � ��s= <br />