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� Fo� oFFie�us� o��� PERM�T� ,�/Sb�D� <br /> . ; : .. <br /> '. ; ; ;;�UILDING , ` ' , : <br /> :. , ,: <br /> _ : _ :. . �. PL.�NNINC� ':. <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Nu.mber 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: 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 Hold _ <br /> Make this a"W"Permit? Yes No <br /> ': PUBLIC INORK� <br /> ` FE��i. ::i _:� `_ ": .. .. ' ... ' ;: 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 /> Tra�c Mitigation Fee <br /> Public Works Fee ` ' ' <br /> ,; ,... <br /> ' FIR�;:DEP�ARTM�NT ' <br /> School Mitigation Fee Update/New Sprinklers Yes No t/ Existing Bldg.� <br /> - Update/New Detection -Yes No 1/ Existing Bldg._ <br /> Update/New Chemical Yes No 1/ Existing Bldg._ <br /> Update/New Fire Service Yes No� Existing Bldg._ <br /> Approved by; �— t� Date: � <br /> Comments: <br /> Subject Ta�'ield Inspection <br /> y � re ars a <br />