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FOR OFFICE USE ONLY PERMIT# ��� � � �b I �o <br /> , . <br /> ' ; . , , :�3UILR��IC. .. ' : ± <br /> .;PLAMN�N� `: <br /> . �.. ... ._. . . . ,.. <br /> Bldg I/ dn/Rem Size 3 Zoning Classification � <br /> Garage Size Overlay/Agreement <br /> VALUATION � � Nonresidential Use i '� <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 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 Ap roved b . Date: � � <br /> Existing Fire Alarm Yes No � Unk Historic Approved by: ^�--'—"-' Date: ---� <br /> Fire Alarm Required Yes Nos School Mitigation Reqd? Yes No e/ <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: �Gt/�'`� School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: �-�--�� <br /> Intake OK by: �� 4 �x Intake OK b :� Ok to route c� Hold _ <br /> Make this a"W' ermit. Yes No <br /> PUBLIC.WORl�� , <br /> �, ���� ;, �: 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 Wo s/Sys Dev/ raffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public orks Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit- oncurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Revie er: �t5' Date:// '/3 � <br /> Water Fee ❑ PW Permit Approved- P <br /> Sewer Fee ❑ See PW Review Worksheet �,./�� �oj' �.!^�Q <br /> Systems Dev. Fee PW Permit Not Required 1�a � c�U�, <br /> Traffic Mitigation Fee <br /> Public Works Fee ` :: FFRE>D�PARTMEI�IT , :_ ' <br /> School Mitigafion 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: �`crr�; � Date: i (-?�l�f- <br /> � Comments: <br />