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FOR OFFICE USE ONLY PERMIT# i�,'O'4 —00(4 <br /> ■. ■■ <br /> 1. l_. 4 aU1LNW '1 y: K } 1 NAN I n g .ryRAMNY .y `: ._ .,....E <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 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'I RCW 64.55 docs required prior to final?Yes_ No Calculated School Impact Fee: <br /> Architectural Approved. Date: 'tit- School Impact Fee Credit: <br /> Structural Approved: Date: 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 /> Eara . pO <br /> : h <br /> K,< uu ... 4tg ` !"ac" { erRfkw � <br /> gf 7 : m . iv, . i i . 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: (,9 Date: 7/0—/7 <br /> Water Fee Z PW Rer+ Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev.Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee 5` a , k� _ E��►{iN4 t <br /> School Mitigation Fee Update/New Sprinklers Yes 7- No_ Existing Bldg._ <br /> Update/New Detection Yes_ No / Existing Bldg._ <br /> Update/New Chemical Yes No /Existing Bldg. <br /> Update/New F e Service Yes No_ Existing Bldg.— <br /> Approved by: v� Date: 7-1>?-)7 <br /> Comments: <br />