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FOIZOFF/C�(1SEON�1� PERMIT� �/��� 'D�t� <br /> ;, ,. <br /> : <br /> :Bu��D�NG' <br /> , PLANNIN� '; <br /> Bldg/TI/AddnlRem Size � Zoning Classification <br /> Garage Size `— Overlay/Agreement �---"'—' <br /> VALUATION � �� 20U Nonresidenfial Use —""— <br /> Number of Stories � Residential Use � � � <br /> Occupancy Group �`-""a"' 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• Q needed before final? Yes No i�''� <br /> ' Existing Sprinkler System? Yes No � Unk Planning IrSspector: �-------> <br /> Fire Sprinkler Required Yes No X� Phone#: .�--�----�~-�"" <br /> Reason LX�ST��lcr 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 /> — _ � <br /> Reason �X�S�(/`1� Everett Schoal Dist Mukilteg,.�etiool Disf <br /> � : <br /> RCW 64.55 MF worksheet req'd for permit? Yes � No #af Net New Units: <br /> Add'I RCW 64.55 dacs required prior to final?Yes No Calculated ool Impact Fee: <br /> Architectural Approved By/Date: � ��(, '�� I� (� ool Impacf Fee Credit: <br /> Sfructural Approved BylDate: Tofal School Impact Fee Owed: <br /> Comments: SP�l,�> ('�l�1��(� f�� (�d�v.r �� Comments: <br /> Intake OK by: Infake OK by: Ok to route Hold <br /> Make this a"W" Permit? Yes No <br /> , , <br /> PU�3LIC VIFORKS.. , <br /> FE�$ , : 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 folder, PW Workshreet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Pfng Bldg Review Fee PW REVtEW: PW Reviewer:�Date: � ' <br /> Water Fee (�PW PermEt Approved-PW (�W l70(O` � <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee PW Permit Not Required <br /> Traffic Mitigation Fee r;v <br /> Public Works Fee `: FtRE�DfPARTMENT <br /> School Mifigation 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 /> Y <br />