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FOR OFFICE USE ONLY PERMIT# �I�"I Q -(�3� <br /> : :BUII:QINC,. : ; <br /> , PLAIVNtN.G ;,. ,' , <br /> � <br /> Bld I ddn/Rem Size Zoning Classification <br /> Garage Size --� Overlay/Agreement <br /> VALUATION V Q�JD Nonresidential Use C.. <br /> Number of Stories l Residential Use •--�—" <br /> Occupancy Group f Proposed No. of Dwelling Units: �------- <br /> Occupant Load �d Totai 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#:a---� <br /> Reason �i� UY�,�� �t��•� Approved Date: �Q � �-- <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br />' Fire Alarm Required Yes No� School Mitigation Reqd? Yes_ No_ <br /> Reason (f hL� L��1�/" Everett School Dist Mukilteo o 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 SCho pact Fee: <br /> Architectural Approved By/Date: � School act Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments:�� �� \,c.�� � <br /> t�,�,� � ��������� <br /> Intake OK by: �° �q/�} Intake OK by: Ok to route _ Hold _ <br /> Make this a" ' ermit? Yes No <br /> I�IiBLI�'WORl�� �, , <br /> F�ES > 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: l`O <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 ;.; ;: .. .. . ; �'114�;D�RARTMENT � ` ,, , <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 /> �Dfi ��� �l <br />