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FOR OFFICE USE ONLY PERMIT# S I� I I���� <br /> ' °" BUILD�N� '_ . . <br /> ` ; ', ::; . PLANNIN�. <br /> Bldg/TUAddn/Rem Size Zoning Ciassification - ` <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 Ins.pection <br /> Type of Construction needed before final? Yes_ No ' <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkier Required Yes No Phone#: <br /> Reason Approved b . � Date: �'� �� 2G`�- <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 (mpact Fee: <br /> Architectural Approved By/Date: f 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 /> ,. , , <br /> `' PU:BLIC.VIIO�tK�. . ..=; ' ` <br /> �.�F��� _, :� 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 Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffc Mitigation Fee <br /> � ,,...; <br /> Public Works Fee FIR�;DLPARTM�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 />