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FOR OFF/CE USE ONLY PERMIT# <br /> i. .. . ' . BUILDIN� ° ; ,. .. .�< ,... : � ;PLANN(N�. : . . ,. .;.. . <br /> Bidg/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 Dwellin 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 CalCulated School ImpaCt Fee: <br /> Architectural Approved By/Date: School Impact Fee Credit: <br /> Structural Approved By/Date: � 2� L� Total School Impact Fee Owed: <br /> Comments: ��•� �d-r �C�'p Comments: <br /> Intake OK by: � � ��- Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> FUBLIC.'WORKS. <br /> , . ... : , . ,. <br /> F��g. ? INTAKE: Checked By: Date: —241 <br /> _��,� � : � � ���� �. '� � . , <br /> _ .. _ . . . _ r _. <br /> Plan Check Fee Comments: � ����/j�,� r�'(/��tt/�-pz. <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 �oute for Public Works Review(bldg folder, PW Worksheet) <br /> MeChaniCal Fee Public Works Permi <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: ZO��" <br /> Water Fee �PW Permit Approved-PW 0�'0�—�SO <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee <br /> ` . FIR���PA'F�TM�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 />