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FOR OFFICE USE ONLY PERMIT# �I�� �'U l <br /> � .., , <br /> ^ . BU1I�DINC� ',' : '. ' <br /> ;: . ' `: . ;PLANI+IIN�. '_ .... <br /> Bldg/TI/Addn/Rem Size Zoning Classification .Z <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use �2 <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 Pianning 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: � 1��')� <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes_ No x <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: ��s� `'- "�C� '�1Zi� l i�5 Comments: 0 {-vy� <br /> �al1L'� � ~ ���'v�' <br /> �'�" 1�i�3'�' �1�—�-1f+G-c�"W`�J'��'�'' �r�n.��A� <br /> �a �j�` �V v � F��� I Ok to route Hold <br /> Inta OK by: j Intake OK by: — <br /> Make this a"W"Permit? Yes No <br /> , <br /> �"GiBLIC,WO•RKS . ' ; <br /> F�ES ' 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: �� �7/7 <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet 11�0 Sf/S dc.��'eG• <br /> Systems Dev. Fee �PW Permit Not Required "L�ke �'or- LikG — <br /> Traffic Mitigation Fee <br /> , , <br /> Public Works Fee ; ; FIR�;,D�PqRTMENT ` ' <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 /> �e,���.�.. <br />