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FOR OPTICE USE ONLY PERMIT 1-70q- 0 <br /> ILDIN <br /> �LAPJitG <br /> BIdg/TI/Addn/Rem Size Zoning Classification - S <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— <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'] RCW 64.55 docs required prior to final?Yes No_ Calculated School Impact Fee: <br /> Architectural Approved.,—tIZL Date: 511 7 J7 School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: — <br /> Comments: Comments: � V �� {Q�ln: d�.rtA�`�� �•'r <br /> �ark►��\+ ,� : 3?� !�v/���r a�.o�-►�.v 'vis <br /> Intake OK by: Intake OK by: Ok to route _ Hold <br /> Make this a"W" Permit? Yes_ No <br /> r <br /> 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: 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 77 <br /> F1Ft ® PARTIVlENT <br /> H. <br /> School Mitigation Fee Update/New Sprinklers TYes_ No_ Existing Bldg._ <br /> Update/New Detection s— No_ Existing Bld7 <br /> g.Update/New Chemical s_ No Existing Bldg.Update/New Fire Services No Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br /> 7- <br />