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FOR OFFICE USE ONLY PERMIT# ���,� � ����C�(>� <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size Zoning Classification <br /> Garage Size �' Overlay/Agreement <br /> VALUATION �W Nonresidential Use <br /> Number of Stories f Residential Use <br /> Occupancy Group �3 Proposed No. of Dwelling Units: <br /> Occupant Load � /Ts 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 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 N� Calculated School Impact Fee: <br /> Architectural Approved By/Date: G,�LS' �'/o� J 7' School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: T. -�' <br /> ���r►�G. ,,d�D G�J��2a✓���-- `�.�+� 1 ��,�fi Y`�'��' � <br /> J <br /> Intake OK by:_� Intake OK by: ��— Ok to route _ Hold <br /> Make this a"W" Permit? Yes No <br /> t'' PUBLIC WORKS <br /> FEES INTAKE: Checked By: �'� Date: <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 foider, 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 FIRE DEPARTMENT <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 <br /> 1:� <br />