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FOR OFFICE USE ONLY PERMIT# <br /> . <br /> , . , BUILDiNG � i ' ; •; , ' :pl.ANNING: <br /> BldglTl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement `" <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units <br /> Occupant Load Total No.of Dwelling Uni . <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 by: � Date:� \5 ZO l`'�- <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 D' <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 F . <br /> p — — <br /> Architectural Approved By/Date: School Impact Fee Cre ' : <br /> Structural Approved By/Date: Total School Impac ee Owed: <br /> Comments: Comments: <br /> Oi�,J`(�� C��E�C v`uS Vtt� �� <br /> � ��� <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WO'Rl�S <br /> ���� ; 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 FIR�'DEPARTM�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 /> . L/ <br />