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FOR OFFICE USE ONLY PERMIT# S ��l �� �'��� <br /> ;'� ... ., ' . � `��� .. ���UIL,D�IN� ,�;,. . � . . >� � �� �i . �'RLA�IN,I�IC. . . <br /> Bldglfl/Addn/Rem Size Zoning Classification �" <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 Inspection <br /> Type of Construction needed before final? Yes_ Noti�r <br /> Existing Sprinkier System? Yes No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: " <br /> Reason Approved b . Date: ^( <br /> Existing Fire Alarm Yes No Unk Historic Approv - by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo Sch ist <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 GaICUlated SChoo aCt Fee: <br /> Architectural Approved By/Date: School act Fee Credit: <br /> Structural Approved By/Date: al School Impact Fee Owed: <br /> Comments: Comments:�c,�""'"" � `�,��-�� � <br /> GUu� ` <br /> � Q��t��,t�.� <br /> \ <br /> � Intake OK by: Intake OK by: Ok to route Hold _v <br /> Make this a"W" Permit? Yes No <br /> , ; ,, <br /> _ <br /> ; .�u�ii�.woRKs. . ..: , ., <br /> �; p,���� -� `` ' � �' "� '' INTAKE: Checked B Date: <br /> , ., . . _. , . ...., <br /> Y� <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animal ortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works R iew( d older, PW Worksheet) <br /> MechaniCal Fee ❑ Public Works Permit-Co urrent vi eparate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW iewer: Date: <br /> Water Fee ❑ PW Permit A roved-PW <br /> Sewer Fee ❑ See PW view Worksheet <br /> Systems Dev. Fee ❑ PW P mit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee ,: FIRE:DEPARTMENT,. <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 Exisfing Bldg._ <br /> Update/New Fire Service Yes No Existing Bldg._ <br /> �• - Approved by: Date: --'""`` <br /> Comments: ; <br /> � � � <br /> ; <br />