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FOR OFFICE USE ONLY PERM�T# ���7Q� "���' <br /> � � BUILDING PLANNWG <br /> � ! �/ <br /> Bld /TI ddn/Rem Size Q`/ ,S 1 Zoning Classification '"� ' <br /> Garage Size Overlay/Agreement <br /> VALUATION �, � Nonresidential Use � `��� ��rt��u����, <br /> Number of Stories J t Residential Use - <br /> Occupancy Group � Proposed No. of Dwelling Units: <br /> i <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 Sprinkier Required Yes�� No Phone#: <br /> — — , , <br /> Reason Approved by: ���'�--�"�'�"�'�'� Date: ��',i�--�1, � <br /> J <br /> Existing Fire Alarm Yes� No Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes_ No�r`' <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: �� � 7 Schooi Impact Fee Credit: ' <br /> Structural Approved By/Date: — Total School Impact Fee Owed: ' <br /> Comments: Comments: �,�� 1����.�_ �,� �� ��.��,�,wM.4 <br /> ��r � � <br /> ��.o� .��5 �'�����a,-� °��� _ <br /> , �,� � � ;� <br /> Intake OK by: L�L�� Intake OK by: Okto route _ Hold _ <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: 1 � � I� 'nh� � <br /> Building Permit Vv � "�' / � `� � <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev 1 Traffic Mit. /RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bidg 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 <br /> Traffic Mitigation Fee <br /> Public Works Fee �8�� ���'������� <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 /> � <br /> Comments: ��� Y���,, _ , `� `� <br /> �)� �L/ <br />