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; � " � FOR OFFICE USE ONLY PERMIT# � ���� <br /> , _ <br /> , ,. , : <br /> : . ` . . ..::_BUILDING . � ; <br /> .. . _ ..:. .. ... ... . .. PLANN�NG. .:`. .._. .': ? <br /> BldglTl/Addn/Rem Size Zoning Classification <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: /N�l� � (� ,��f(� School Impact Fee Credit: <br /> Structural Approved By/Date: ��- Total School Impact Fee Owed: <br /> Comments: �� �� S�r—, � Comments: <br /> Intake OK by: Intake OK by: Ok to route Hoid <br /> Make this a"W"Permit? Yes No <br /> .. <br /> ; ;, <br /> ,:: : <br /> PUBLIC W�RKS <br /> : FEES . .: 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 <br /> Sewer Fee ❑ See PW Review Worksheef <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> ,.:. <br /> Public Works Fee . ; ';:fIRE DEPi�RTM�NT . : , - ` <br /> School Mitigafion Fee Upda#e/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 />