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� �oR oF�icE us� on►�Y � PERMIT# �I� ��'�d� <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification r� -" <br /> Size ;/� 3��=�' -�/� Overlay/Agreement ��----•- <br /> VALUATION � O�Q Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: I <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 Mukil ool Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No #of Net New Uni : <br /> Add'I RCW 64.55 docs required prior to final?Yes No CalCul chool Impact Fee: <br /> Architectural Approved By/Date: �a �S / �-- S ool Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: 2 v �S ��L Comments: <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 fol er) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: S' 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 /> I �, � <br />