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FOR OFFICE USE ONLY PERMIT# f� ���"o' � �� <br /> . � .. � . <br /> „ � � � � � � � � <br /> ' � = BUILDING ' :.. � . PLA(�IN1NG .;:. . <br /> BIdgITI/Addn/Rem Size (Ck� Zoning Classification <br /> Garage Size �' Overlay/Agreement <br /> VALUATION .� (� O(� Nonresidential Use <br /> Number of Stories � Residential Use <br /> Occupancy Group �� 3 Proposed No.of Dwelling Units: <br /> Occupant Load 0� Total No. of Dwelling Units: <br /> Basement ' No Yes Fin / Unfin Landscape or Pianning 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 �X�S� �^�U Approved by: , Date: ���i — "7 <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No `� <br /> Reason . t S�t�� 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: l%�.. ��1�K�-� J'��,fr, School Impact Fee Credit: <br /> Structural Approved By/Date: !J R-- Total School Impact Fee Owed: <br /> Comments: �� f E��q �e,�/l.ov-t? )" Comments: <br /> I(LE(�d���0 ��- ?� !�- <br /> �4rt�nn,on�10 2c� �� <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No <br /> ,, . :. .. , ; „ . <br /> , FUBLIC WORK�.. .. . : <br /> _ _ __ <br /> F���, `: INTAKE: Checked By: Date: <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 /> 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 FII�E;D�PARTNI�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 /> P <br /> l <br />