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FOR OFFICE USE ONLY PERMIT# ���1'J�G �-��� <br /> � <br /> , � � ,��� <br /> ;. , �: �..� . <br /> , , <br /> � � � rBUICDI(�I� ' � �,� � � � .; � �� ���PLANNtNIG � . <br /> � Bldg/TI/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 Dweiling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement No Yes Fin / Unfin Landscape or Planning Inspectio � <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 Re ? Yes_ No_ <br /> Reason Everett School Dis Mukilteo School Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Uni : <br /> Add'I RCW 64.55 docs required prior to final?Yes No Calculated SCh ol Impact Fee: <br /> Architectural Approved By/Date: School Impa Fee Credit: <br /> Structural Approved By/Date: Total Scho Impact Fee Owed: <br /> Comments: �:�� �a.mc-r ,�s w.ana►.� as�oev. Comment : <br /> v�'t�c c.a�-r t.s �c+ss -cs:a�..i �.�r�E �� e.�o,+P�M. <br /> t�� �O�.Z. <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> `RUBLIC WORKS , , ., <br /> F���, ; i` INTAKE: Checked By: Date: <br /> _. . ...._ _ _ . _ _ .. . . <br /> Plan Check Fee Comments: <br /> Building Permit <br /> SurCharge High Hazard Sites(Dental/Medical,A 'mals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Tr ic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works view(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Con rrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Rev' wer: Date: <br /> Water Fee ❑ PW Permit Appr ed-PW <br /> Sewer Fee ❑ See PW Revi Worksheet <br /> Systems Dev. Fee ❑ PW Permit ot Required <br /> Traffic Mitigation Fee <br /> Public Works Fee � =� , ���� � ' FtRL DEPAR�'M�NT„� �_ ���� � ��� ��� <br /> School Mitigation Fee Update/New Sprinkfers 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 />