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FOR OFFICE USE ONLY PERMIT#�iI/V I��l0'(`�O7i <br /> ; , <br /> ; , . .:�3U�LDINC. :. . . � ' . _ �i {�L.ANNING . . . . ; <br /> BldglTl/Addn/Rem Size �L r Zoning Classification -�� <br /> Garage Size �'— Overlay/Agreement �'—"' <br /> VALUATION �l'� CJ�G Nonresidential 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 1/'' <br /> Existing Sprinkler System? Yes No Unk_ Planning Inspector: ""'"'-'"� <br /> Fire Sprinkler Required Yes No_ Phone#: .---�"' <br /> Reason Approved b . Date: j��j <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 Sc ist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No #ofNet New Units <br /> Add'I RCW 64.55 docs required prior to final?Yes_ No Calculated SChool act Fee: <br /> Architectural Approved By/Date: r �� School I ct Fee Credit: <br /> Structural Approved By/Date: CO T School Impact Fee Owed: <br /> Comments Comments �C���_ � �� <br /> Intake OK by: � ��' Intake OK by: Ok to route Hold _ <br /> � <br /> Make this a"W" rmit? Yes No <br /> PU.BLIC WORKS <br /> F���.. '> .;' 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 fofder, 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 � � ,FI(t��`DEPAFtTMENT , ;.�;�� <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 />