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FOR OFFICE USE ONLY PERMIT# V�I����� �vl0 <br /> �F�.r��'��� ;�. �,���i�;,�t�� ���z�y�.,",;,.s'.,.k,�,���,s3�:'���-'�`�i���, �'�'���� ,�,; ,,��` r�a�"�.��:. ,�.�.-�,�':�- -x��r'�t� �.:-����;-�".��'�,:�'�"�`�' �^��` . <br /> �,���.rz��' '>��§.��'.�;z,�"���_'�!�����z:.:�����'���i�in�s,�'�;�`��.���� �����������.���� �c. .��!?����'�`�c n��'r..������.��::�;�����. <br /> Bldg/TI1Addn/Rem Size Zoning Classification �� <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use Cj(��G� <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units <br /> s <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 Plannin Inspector: <br /> Fire Sprinkler Required Yes No_ Phone#: <br /> Reason Approved by: 1�-• 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: Date: School Im act Fee Credit: <br /> Structural Approved: ` Date: ��' Total School Impact Fee Owed: <br /> Comments � Comments: <br /> Intake OK by: Intake OK by: Ok to route Ho1d _ <br /> Make this a"W"Permit? Yes No <br /> "E .R,_ ' `�n . a�'bCPp l �3z�V� ..-� <br /> .4 �','. �� �.' �a 'S� �e ��'�,. <br /> a.� ti �'t�*v�;`Y., f��:�f�k4�� t�.�s4. <br /> � <br /> �� � � ' ��` '" � ���� INTAKE: Checked By: Date: <br /> � t�k�.�.;�r� . �,,. .�� '.�'�+��.s�. m..� a;'��.�.��..� <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 se arate reen folder <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> SewerFee ❑ See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Tra�c Mitigation Fee <br /> PublicWorks Fee �� � .���' .������ .��������`��'�` "�`�� <br /> �,. .��g. ��.� ���.��.. �,;����. <br /> School Mitigation Fee Update/New S rinklers 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 b : Date: <br /> Comments: <br /> �, <br /> Z i� <br />