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FOR OFFICE USE ONLY 'ERMIT# �(�(l C �D� "�J� <br /> BUILDING PLANNING <br /> Bldg�l/Addn/Rem Size Zoning Classification " , <br /> Garage Size Overlay/Agreement —"- <br /> VALUATION 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 �a <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: — --- <br /> Fire Sprinkler Required Yes No Phone#: --- <br /> Reason Approved by: � �� Date: �`� ( �� �C�� <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 Approyed: Date: School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments 7� �; Comments: +�,'�L�;��"C;�l(.p <br /> I � c:�Y/l�� ��/'c/�C� <br /> �Z' �t.�'v��.�' lJs.�u2 T� 1�c�5r/,�i�; <br /> �/,1�. 1���2� G,���� n�� Intake OK by: <br /> Intake OK by: Date: G<`J�i��.T:.J <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <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 green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: ��'1�- Date: %- =3�'-I � <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 FIRE DEPARTMENT <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 Bidg. <br /> Update/New Fire Service Yes No Existing Bldg._ <br /> Approved by: Date: � <br /> Comments: <br /> ;�2 � . <br />