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FOR OFFICE USE ONLY PERMIT#� t�I�� �� l <br /> . . . . .. . . , �::�U�LdING .._., �.. : .. .: ....... . .. .:."...., . . .,. , .. Fk.�NNtN�..:... .. . .'. . . <br /> ,.. � .. , ., , .. <br /> BldglTl/Addn/Rem Size Zoning Classification � v�,, <br /> Garage Size Overlay/Agreement' <br /> VALUATION � �j�� Nonresidential Use �� <br /> �,....---- <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 Jnspection <br /> T e of Construction needed before final? Yes_ No V <br /> Yp — <br /> Existing Sprinkler System? Yes No Unk Pianning Inspector�--'—' <br /> Fire Sprinkler Required Yes No Phone#: �--"--' <br /> Reason Approve Date: l7i Z� � <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 Galculated SChool Impact Fee: <br /> ' Architectural Approved By/Date' School Impact Fee Credifi <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments Comments: - <br /> ...,_,_ <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W"Permit? Yes No <br /> PU�L�C WOR�� <br /> _'� ���� � ; >� �,� ' -r '�� INTAKE: Checked By: � Date: � � <br /> s. � <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 ❑ Public Works 1 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(se arategreen 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 <br /> Traffic Mitigation Fee <br /> � Public Works Fee � � �� � � �� � � � � � � F1F��`DEPA#�tTM�NT � <br /> School Mitigation �ee 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 /> � <br />