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G!' <br /> FOR OFFICE USE ONLY PERMIT# ','(RCS "(JO <br /> 4ti x { s r .i -.§.�s >5. ut t �u� 2 ...3'T t i i �# } ¢ r> <br /> ` r ,BtAPIN ,r;' x x t` n rz i 4 iii' 4., :�. `PL ON NG3' <br /> { <br /> ..<rci. ,.... ...._...,.....- _......... .� ..�..,.,...«.,..,_..>...5....3_.,..� .... .._.. .' .-n,......,t :...., P_of: .,,.L ,.. _ �.r". � � FY.,.A.<... `z <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 628 I 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 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 Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes— No_ #of Net New Units: <br /> Add'l RCW 64.55 docs required prior to final?Yes No Calculated School Impact Fee: <br /> Architectural Approved' r Date: School Impact Fee Credit: <br /> Structural Approved: :r Date: I i r 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 /> ,_. . ... Mniaatbtt 5RA <br /> sYEs . ..t <br /> i <br /> �� &rg".� JatWrrWlgn : 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: /�.2 Date: 7/017 <br /> Water Fee PW Perms-Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev.Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee <br /> S J rtr <br /> ss'� r=SAR A{' ter.#.Rlt QE *-711 w�IS !; :�I— 1 ... <br /> School Mitigation Fee Update/New Sprinklers Yes 1 No— Existing Bldg._, <br /> Update/New Detection Yes— No ( Existing Bldg.— <br /> Update/New Chemical Yes No / Existing Bldg. <br /> Update/New Fire ervice Yes / No— Existing Bldg.— <br /> Approved by: Date: 7- -(7 <br /> Comments: <br />