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�� rDf' �� <br /> FOR OFFICE USE ONLY PERMIT#���6�' C�l'I.� <br /> ,.. .._. _ <br /> 'BUJLDIN� ' PLANNIN� ;` <br /> BidglTl/Addn/Rem Size Zoning Ciassification <br /> Garage Size Overlay/Agreement <br /> VALUATION 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_ <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: Total School Impact Fee Owed: <br /> Comments: �� �-p� omments: <br /> �V� 1���/U`2Pti ���� 1� <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC WORKS <br /> '���g. � �'��: INTAKE: Checked By: Date:� <br /> _ >_ _ __ _ _ _ _. . <br /> Plan Check Fee Comments ' <br /> Building Permit �"`� � <br /> Surcharge High Hazard Sites(Dental/Medic ,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 °: FIRE=D�PARTM€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 />