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FOR OFFICE USE ONLY PERMIT# �1�0� - �� <br /> , �U�LDING :.: � ; <br /> FLA�INIIVC� . ... .. . ..... . . .. . ' ' <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Froposed 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 /> Reason Approved by: 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: School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: ok to route Hold _ <br /> Make this a"W" Permit? Yes No <br /> i�tiBLIC WORKS <br /> ��- �EES�� ��:: �� 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.J RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mecharlical 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 ;: '�IR� DEPARTAiI�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 Servi e Yes No /Existing Bldg._ <br /> Approved by: Date: ?-�8-17 <br /> Comments: <br /> e �f <br /> `�`,���--,` <br />