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FOR OFFICE USE ONLY PERMIT# �/�� ���� <br /> ,. _ , . <br /> = . ._BUILDIN{� :. .... .: . . ; . :_ ;, .. .. . FLAisININ�. �, .:.� <, ,; <br /> Bldg/Tl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use ~``�J��'f'���5 <br /> ---___ <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Totai 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 y: Date: J <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: Comments:�------ <br /> Intake OK by: - ' Intake OK by: ��� Ok to route <br /> Make this a"W" Permit? Yes No <br /> P ��3LI. :UVCIRF�� <br /> F�€"�- :: ,: ,;i ' ': I NTAKE: Checked By: Date: 2i� � <br /> .,. . ...... .;:, � � / <br /> : __. _., ..; <br /> Plan Check Fee CQm���Q����!?��ZG� �'v-i.r� C�c� �, �.i�t <br /> Building Permit ''� ` n , <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 /> , <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:DEPAI�TMENT <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 />