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FOR OFFICE USE ONLY PeRnnIT# (�i L 1 �� 'd��0 <br /> , . , , <br /> : ; . � <br /> : , <br /> ' ; ;BUIL�ING : : ' � ' ' PLANNtNC ; , . <br /> BidglTl/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 /a Total No. of Dwelling Units: ��,� <br /> Basement No 2S Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No� <br /> Existing Sprinkier System? Yes No� Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: L. . 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 N Calculated School ImpaCt Fee: <br /> Architectural Approved By/Date: p2J �7 School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments Comments: ���1�^O3�W���Se'� T�2�(� <br /> Intake OK by: �l/+E' 0�af-0'tGG Intake OK by: Ok to route �,. Hold _ <br /> Make this a"W" Permit? Yes No <br /> RUBL��WOf�KS. ` <br /> :: , ; ; k D t <br /> F�€�. ;; ' ' INTAKE: Chec ed By: a e: <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:�f(J'�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 `: �'IF��':D�PARTMENT <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 />