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�I �tl � <br /> — C�i=�, <br /> FOR OFFICE USE ONLY PERMIT# <br /> BUILDING PLANNING � <br /> Bldg/T�Ad nd /�2em Size �o (� SF Zoning Classification � Z . <br /> Garage Size Overlay/Agreement <br /> Nonresidential Use <br /> VALUATION <br /> Number of Stories � Residential Use <br /> Proposed No.of Dwelling Units: <br /> Occupancy Group �� <br /> Total No.of Dwelling Units: <br /> Occupant Load � _ <br /> Landscape or Planning Inspection <br /> Basement No � Yes Fin / Unfin � <br /> — — needed before final? Yes No <br /> Type of Construction <br /> Pianning Inspector: <br /> Existing Sprinkler System? Yes No�Unk_ phone#: <br /> Fire Sprinkler Required Yes_ No �C Approved by: . � Z'���� <br /> Date: <br /> Reason U n�0� �i M�� Historic Approved by: Date: <br /> Existing Fire Alarm Yes No�Unk � <br /> School Mitigation Reqd. Yes_ No X <br /> Fire Alarm Required Yes No X Everett School Dist Mukilteo School Dist <br /> Reason U�(��'( �:M�h) #of Net New Units: <br /> RCW 64.55 MultiFamily Enciosure Req'd? Yes No� Calculated School Impact Fee: <br /> Add'I RCW 64.55 docs req'd prior to final?Yes No School Impact Fee Credit: <br /> Architectural Approved: �(r l� Date: ,Z7.�1 Total School Impact Fee Owed: <br /> Structural Approved: Date: Comments: <br /> Comments: '(%�J Z R C <br /> �t���vSul�� �f �1�s7 �L�V� 'i( �� <br /> Intake OK by: K!�_ <br /> ����,�.rs c�Mr����-►L� wi�c� <br /> (�J SE �- � �M L PUBLIG WORKS <br /> Intake OK by: Date: <br /> INTAKE: Checked By: I Date: )I I(� <br /> Comments: <br /> FEES <br /> Plan Check Fee <br /> Hig Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Building Permit , <br /> Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Surcharge <br /> ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Additional Plan Check <br /> ❑ Public Works Permit-Concurrent Review separate green folder) <br /> Plumbing Fee PW REVIEW: PW Reviewer: Date: <br /> Mechanical Fee <br /> ❑ PW Permit Approved-PW <br /> Ping Bldg Review Fee ❑ See PW Review Warksheet <br /> Water.Fee ❑ PW Permit Not Required <br /> Sewer Fee <br /> Systems Dev. Fee FIRE DEPARTMENT <br /> Traffic Mitigation Fee Update/New Sprinklers Yes_ No_ Exisfing Bldg._ <br /> Public Works Fee Update/New Detection Yes_ No_ Existing Bldg._ <br /> School Mitigation Fee Update/New Chemical Yes�� No_ Existing Bldg._ <br /> Update/New Fire Service Yes_ No_ Existing Bldg._ �i <br /> Approved by: Date: I <br /> Comments: � <br /> � <br /> � � <br /> I <br />