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F�OR �F�ICE (IS� OIVLY PERIVII7'#�J � b"� <br /> ,. ; <br /> ' ;: �UILDING i ,. PL�AiV�ING `.. <br /> Bidg/TI/Addn/Rem Size Zoning Ciassification �"?� <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 Units: <br /> Basem�nt No Yes Fin / Unfin Landscape or Planning Inspec4ion <br /> Type of Construction needed before final? Yes_ No� <br /> Existing Sprinkier System? Yes No Unk Planning Inspecfor: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved by: Date: b� ��1'7 <br /> Existing Fire Alarm Yes No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes_ No <br /> Reason 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: School Impact Fee Credit: <br /> Structural Approved By/Date: � Total School Impact Fee Owed: <br /> Comments_�� ���� �`� Comments: <br /> lntake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS <br /> F�E� :': 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 ❑ Roufe 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: lv- 7-� 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 ' FIRE:DEPAR7M�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: ;i-�,, <br /> Comments: �,P <br /> �, .� <br />