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FOR OFFICE USE ONLY PERMIT# S��� �6 � � <br /> � ��BU�LD � . ,. y , <br /> � <br /> � ,� � � �� � �� � �� <br /> � � IhIG �`' �°, , ` ` �� � � �� <br /> . .., � . ����PI.J�NNING � �, � � ` � � <br /> � <br /> BldglTl/Addn/Rem Size Zoning Classification — 2 <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use (' <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: --- <br /> _.-�- <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: � v1J'"�� <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 /> PUBLI�WORKS <br /> F���,. ; INTAKE: Checked By: Date: <br /> _ _ _ _.. . -. ,, , . . . : <br /> Plan Check Fee Comments: �r� .U►�) �'�� <br /> �v � �.� <br /> Building Permit <br /> SurCharge Hi 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-Concurren Revi w(separate gre n fol er) <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 `: FIRE'D�RA�2T.ME?NT. <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 /> �/ � <br /> G�'� - <br />