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• FOR OFFICE USE ONLY • PERMIT# �-- �� ,� � �"1I' �- ( � <br /> BUIL�ING ' ; : PLANNING ' . , <br /> Bldg/TI/Addn/ em ize '/ � `'� 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 Fi / 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 Approv d b : 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 SCho01 Impact Fee: <br /> Architectural Approved: Date: `j// " / School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments: Comments: �'��3 ,' '"; 4.�;j�.;� <br /> �.�, / J �`� <br /> Intake OK by: "=�%�1 Intake OIC-� . � ok to route 9� Hold�;� <br /> Make this a"W" Permit? Yes No <br /> ` ' PUBLIC WORKS ` <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: . <br /> Building Permit I�� � � ��'-���' �d�L I '_"��� ' �l �� 1►1��`t E�ii 1,, <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 se arate reen 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 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 Bldg._ <br /> Update/New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br />