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! � �r7os -,o� <br /> ��� o����� us� ���� ����a�� _ <br /> ��.,�L�a�� ����,��� <br /> Bldg/TUAdd /Rem Siz �,�� � 5� Zoning Classification �L—" <br /> Garage Size � Overlay/Agreement �-- <br /> VALUATIO� � (� � Uc� Nonresidential Use -- <br /> Number of Stories •� Residential Use v � � <br /> Occupancy Group f�a"' Proposed No. of Dwelling Units: �`� <br /> Occupant Load �b Total No. of Dwelling Units: <br /> Basement No X'i Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction UQ needed before final? Yes tVo 'v�' <br /> Existing Sprinkler System? Yes No � Unk Planning ItSspector: <br /> Fire Sprinkler Required Yes No ki Phone#: .---�-------' <br /> Reason LX�����J� Approved by: Date: � ( � <br /> Existing Fire Alarm Yes No�Unk Historic Approved by: Date: ' <br /> _. <br /> Fire Alarm Required Yes No Y� School Mitigation Reqd? Yes No <br /> Reason �k� 5 I(N� Everett School Dist Mukilteg..�eii'ool Dist <br /> RCW 64.55 MF worksheet re d for ermit? Yes /" No #of Net New Units: �r <br /> q� p �__... <br /> Add'I RCW 64.55 docs required prior to final?Yes No � Calculated ehool Impact Fee: <br /> Architectural Approved By/Date: e� ��� 7 (� � ool Impact Fee Credit: <br /> Structural Approved By/Date: ��. � � �� a�� "' Total School Impact Fee Owed: <br /> Comments: j `, Comments: <br /> �(�1.�5 �I�Ut��f��'�1Jt�ti' ��UC�P��Z <br /> Intake OK by: Intake OK by: Ok to route 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 � ��,�'��'�� <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:�%c'� '� � <br /> Water Fee ❑ PW Permit Approved- PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> 5ystems 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 /> � <br />