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FOR OFFICE USE ONLY PERMIT# V k�`"[ <br /> 93 - +; 5.v v'�33F �K � i-�yc �x <br /> - *$thLDINC .0 { t. �``g,- 'z ,y { i t_,p\;<�^ } t z A NISI a +• k.Z r:;x <br /> ^..... � ,..... >, ....-<. HS�a;�.,3..G�..5.....,. _,.,. s <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION V 2 (' Nonresidential Use <br /> Number. Stories Residential Use <br /> Occupancy •up. 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_ Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes_ No Un 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: Date: School Impact Fee Credit: <br /> Structural Approved: < Date: c(2 7 \ Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes_ No_ <br /> <i11�a`k'}- y5111111Mai. 0ANengene 3'_+�'"Y'« '+: <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 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: <25 Date:4 -/7-/7 <br /> Water Fee ff PW rcr it Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee " av ' y � p : E gattN <br /> * � 5kr Z t ^Public Works Fee . . , y:., : . <br /> School <br /> 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: Or <br />