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Fo� o��rcE us�o�v�� P�RM�T�. �!� a5.D �� <br /> . <br /> - BUILDING <br /> , ._ ::PLANNINC�,; <br /> _ <br /> Bidg/Ti/Addn/ em iz �� ��a S F Zoning Classification � <br /> Garage Size r Overlay/Agreement �---""'' <br /> VALUATtON � ��n Nonresidenfial Use — <br /> Number of Stories � Residential Use �,1 � � <br /> Occupancy Group I`-'"�'" Proposed No. of Dwelling Units: """"'� <br /> Occupant Load ��P Total No. of Dwelling Units: <br /> Basement No� Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction- UQ needed before final? Yes No i✓� <br /> ' Existing Sprinkler System? Yes No � Unk Planning ItSspector: �---------� <br /> Fire Sprinkler Required Yes No � Phone#: -.---�----~—'"' <br /> Reason (G?��S���J�r Approved by: Dafe: ( � <br /> Existing Fire Alarm Yes No�Unk Historic Approved by: Date: ,.� <br /> Fire Alarm Required Yes No 7� School Mitigation Reqd? Yes No <br /> Reason �f 5�{/�1� Everett School Dist Mukilteg,scttiool Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes � No #of Net New tlnits: � <br /> Add'I RCW 64.55 docs required prior to final?Yes No Calculated ool Impact Fee: <br /> Architectural Approved By/Date: C� 1�� 7 1'1 � ool (mpacf Fee Credit: <br /> Structural Approved BylDate: Gt Total School Impact Fee Owed: <br /> Comments: S�,E� , P�1,�.1� .�,�N ���j�.�.ra-(� Comments <br /> Intake OK by: Intake OK by: Ok to route Hold <br /> Make this a"W" Permit? Yes No <br /> , , . <br /> ; PUBLIC-WORK� <br /> FE�S 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 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 ��Q�'_0 ; <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee nW Permit Not Required <br /> Traffic Mitigation Fee �.,, <br /> Pub(ic Works Fee FIRE;.DEPARTM�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 />