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FOR OFFICE USE ONLY PERMIT# ��I�,�,` �����1�.�,�' <br /> BUILDING PLANNING <br /> 7 <br /> Bidg/TI/Addn/Rem Size Zoning Classification �� <br /> Garage Size Overlay/Agreement <br /> VALUATION �residential Use ;�'\v� � - 1� �v��� <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 /> � ..- <br /> Reason Approved by: ��- 1—� Date: � ���� � Li\�� <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 Cafculated School Impact Fee: <br /> Architectural Approved: Date: School Impact Fee Credit: <br /> Structural Approved: Date: Total School Impact Fee Owed: <br /> Comments: Comments: ` <br /> � �� ��'��'f LG'It,� � I����� �4;4 6��,�v l b� � `�, `���,AL�� ��� ��\(���,vAG�� 5 C�;� \v���_��.����_� ���;��e <br /> � �LL�`�1'L;��C� � <br /> `" ,' Intake OK by: <br /> Intake OK by: Date: <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> ����i� �� �'�'l,(` t� <br /> Building Permit � <br /> SurCha�ge 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: 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 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 /> �� <br />