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� FOI� OFFICE USE ONLY PERMIT# �"������ <br /> : <br /> , <br /> ; ' ;,BUILDING. . . ' �; .. ' PLANNIN�. : . <br /> BldgtTi/Addn/Rem Size Zoning Classification <br /> Garage Size Overiay/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'1 RCW 64.55 docs required prior to final?Yes No Calcu4ated School ImpaCt Fee: <br /> Architectural Approved By/Date: School Impact Fee Credit: <br /> Structural Approved By/Date: Tota[School Impact Fee Owed: <br /> Comments: Comments; <br /> Intake OK by: lntake OK by: ok to route Hold <br /> Make this a"W"Permit? Yes No <br /> , ;. . <br /> ` PUBLIC WOR}CS. : , . <br /> '.F�E�i. :< ;: INTAKE: Checked By: Date: <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 Re�iew Worksheet <br /> Systems De�. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> .. <br /> Public Works Fee FIRE:D�PARTM�NT ,; <br /> School Mitigation Fee Update/New Sprinklers Yes No l/Existing Bldg._ <br /> - Update/New Detection Yes No v Existing Bldg._ <br /> Update/New Chemical Yes No Existing Bldg._ <br /> Update/New Fire Service Yes No Existing Bldg. �/ <br /> Approved by: ��' � Date: � �- d <br /> Comments: <br /> Subject To Field Inspection <br /> . <br />