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FOR OFFICE USE ONLY PERMIT# � �� � �`�d� <br /> . , <br /> : , SUILDING : ": _, �� : .; .. PLANNIN�.. . <br /> BldglTl/Addn/Rem Size Zoning Classification ��.t'�, <br /> Garage Size Overlay/Agreement M�3U <br /> VALUATION Nonresidential Use �1, <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.ofi Dweiling Units: �' <br /> � <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No Yes F' / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No <br /> Existing Sprinkler System? Yes N Unk Planning Inspector: <br /> Fire Sprinkler Required Yes o Phone#: <br /> Reason Approved by: Date: � � (� <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Ye No School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo School Dist <br /> RCW 64.55 MF worksheet r 'd for permit? Yes No #of Net New Units: <br /> Add'I RCW 64.55 docs re uired prior to final?Yes No Calculated School Impact Fee: <br /> Architectural Approv d By/Date: (/Yi't'(Z School Impact Fee Credit: <br /> Structural Approved By/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 /> RUBLI�WORF�� <br /> F���: : !' INTAKE: Checked By: Date: <br /> . _ <br /> _ _. . <br /> Plan ChecKFee Comments: <br /> Building Permit <br /> SurCharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ 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: 1�,8 Date: /� ,�—J 7 <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 ' =; „,,, „ ; „}�IR�;D�P�4;RTME�IT„ : ` ` <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: le��-3 a-] <br /> Comments <br />