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FOR OFFICE USE ONLY PERMIT# �t 7�� ~G�6 <br /> ; , , , <br /> � ; � ,� <br /> : <br /> . __ <br /> _: , _BU�L�ING ._: : I ., PLANNIN� .:;_ <br /> Bld !TI/A dn/Rem Size �Z Zoning Classification ` <br /> ----_._._ <br /> Garage Size `� Overlay/Agreement <br /> VALUATION � Qf ��Q Nonresidential Use b <br /> Number of Stories �� Residential Use ' <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: "—"�T <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 Pianning Inspector: <br /> Fire Sprinkler Required Yes� No Phone#: � <br /> Reason Approv b : � Date: (,' Z / <br /> Existing Fire Alarm Yes � No Unk Historic Approved by: -�-�--'—�- Date: r-- <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 O 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 /> PUBLIC iNORK� <br /> F��c�: 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 := �'IR�: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 /> � <br />