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FOR OFFICE USE ONLY PERMIT# 17 D�'��� <br /> _ ,: ..,.. . '.,„. . _�UILDIN� ...�.. ...,.., ..._ .,.; .,�.,.. ` ° �:.... . . .PiL�#NNIN� .: <br /> Bldg/TI/Addn/Rem Size Zoning Classification ' r <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 Pianning (nSpeCtor: "—'� <br /> Fire Sprinkler Required Yes No Phone#: '"-- <br /> Reason Approved Date: 2 <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 S 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 a�t Fee: <br /> Architectural Approved By/Date: School I t Fee Credit: <br /> Structural Approved By/Date: Tot School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: Ok to route Hold <br /> Make this a"W" Permit? Yes No <br /> .. .:. ;: <br /> ° �tiBl�l�iNt3Rl�S. . '::; <br /> r,��Fr�, ;.; �:` INTAKE: Checked By: Date: <br /> _....__....... . .. .. ... ... . . . .,. . . .,... . ..._.. . <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 Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee ,. ..,.�. . ',�1F�iE,D;�PAI�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 />