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FOR OFFICE USE ONLY PERMIT# � t��Z�� <br /> .. ; BUILD;ING : = ,.. ,:: � PLAN�It�IC '. . ; <br /> � . �. � . ... . � <br /> Bldg/TI/Addn/Rem Size Zoning Classification M� – �r��` �� � <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: 2..� � <br /> l <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 Mukilte ool 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 Schoo pact Fee: <br /> Architectural Approved By/Date: School I ct Fee Credit: <br /> Structural Approved By/Date: � ��� T School Impact Fee Owed: <br /> Comments: Comments: �95��w�� � 2 2 �, <br /> � Zi <br /> J <br /> Intake OK by: Intake OK by: � Ok to route Hold <br /> Make this a"W" Permit? Yes No <br /> � PUBLIC WOR}�S, <br /> �S��g ;< :: INTAKE: Checked By: Date: <br /> _ . . . _ . <br /> __. .. <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 ❑ 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: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee �PW Permit Not Required Z '/rD ($ <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 /> ��7� <br /> l` <br />