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,��_ ����'�s� <br /> /� r,,� <br /> FOR OFFICE USE ONLY PERnnir# D �`�� <br /> . :: - � � , <br /> _ :. `BUILDIAIG, =.. . ._ ' ' . . . . ' .,.. . ; RLANNING .> . . <br /> Bldg/TUAddn/Rem Size Zoning Classification <br /> ize C�k '�� � S� Overlay/Agreement `—� <br /> VALUATION S C7 Nonresidential Use �_� <br /> Number of Stories Residentiai Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> .,_--.—� <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 b : 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 By/Date: Z, / School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments� ��,1���� ( � <br /> l� � � � ��Y�� <br /> Intake OK by: PJ �� Intake OKc q1�. � o _ �d _ <br /> Make this a"W" Permit? Yes No <br /> PU.�LIGWORit� , <br /> F�ES . : < 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 ❑ Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> MeChanlcal Fee ❑ Public Works Permit-Concurrent Review(separate reen folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer:�_Date: ��Z3^I 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 F[�E;;D�P3?11�TM�NT : <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 />