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FOR OFFICE USE ONLY PERMIT# �����'�� <br /> � , , <br /> � ; <br /> ' B,UIL�IN�: > : i , . ::' ° PLANNING, . . . <br /> Bld I/Addn/Rem Size '7 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Q� Nonresidential Use <br /> Number of Stories U 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 7( Phone#: <br /> Reason Approved by: l � Date: 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 Sehool Irflp�Ct F.ee: <br /> Architectural Approved By/Date: School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Eee Owed: <br /> Comments: Comments: <br /> Intake OK by: � Intake OK by: Ok to route Hold <br /> Make this a"W" Permit? Yes No <br /> PU,BLIC 1NORKS <br /> ` ��ES . '' �: 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./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: " y <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 FIR�'D,�PARTM�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 />