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FOR OFFICE USE ONLY PERMIT# � '� �O"� ,� <br /> , .: . . <br /> ; � , BUILDING : ; . . .. . :' .. ;PLANNINC. .'.. <br /> Bldg/TI/Addn/Rem Size � �� Zoning Classification Z� <br /> Garage Size Overlay/Agreement (Ai <br /> VALUATION 1 L ��� Nonresidential Use <br /> Number of Stories f Residential Use j 2— <br /> Occupancy Group ��— � Proposed No.of Dwelling Units: ^"— <br /> Occupant Load �l� Total No.of Dwelling Units: b/� <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 Approve � Date: �� 2 <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: •, � p�-/ �� 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 /> , �_, � � ; � � <br /> RUBLIC WORK� <br /> F�ES .` ' INTAKE: Checked By: Date: <br /> _,. __:. _ ... . _. . . _..... <br /> Plan Check Fee Comments: <br /> Building Permit '�"�� r�� ' `�"` <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�D�PqRTMENT ,� <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 /> �,�� I�t�1�`-Z l� Z �- <br />