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FOR OFFICE USE ONLY PERMIT# �'�.��.C ''�`"1 <br /> , ; <br /> 6UILDIN�, .;, >. . � .. - ' .. PL�,NNI,N� <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION ���� Nonresidentiai Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed 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 Galculated 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 /> ��-� �� <br /> �6 <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W" Permit? Yes No <br /> . , <br /> � .BLIG WORK�, <br /> F�E� ` INTAKE: Checked By: Date: <br /> ._ .. .. . _ . . _. __ ... . <br /> Plan Check Fee Comments <br /> Building Permit <br /> SuPcharge 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 151,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: �B Date: //•�-���7 <br /> Water Fee PW Rern�4Approved-R�st <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee :`' FIR�'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 S rvice Yes No Existing Bldg._ <br /> Approved by� Date: t1-zi -�� <br /> Comments: � <br /> . ��• <br /> �--- . <br />