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FOR OFFICE USE ONLY PERMIT# `�'���� ��� <br /> , <br /> , BUIL,D„ING : : ;: .,... ;. .. ...; -,. PLANNING ;. . <br /> Bldg/TI/Addn/Rem Size Zoning Classification � � <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use � <br /> Number of Stories Residential Use �T <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 t/'� <br /> Existing Sprinkler System? Yes No_Unk Planning Inspector: �"r–""-"– <br /> Fire Sprinkler Required Yes_ No Phone#: .------�� <br /> Reason Approved Date: 2- �-O � <br /> Existing Fire Alarm Yes No Unk Historic Appr ved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes_ No_ - <br /> Reason Everett School Dist Mukilteo Sc 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 Calculated School 1 t Fee: <br /> Architecturai Approved By/Date: School Imp ee Credit: <br /> Structural Approved By/Date: Tota ool 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 /> PUB�IC.WORKS <br /> F��g ; : 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 Pfan 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 g een 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 /> Traffic Mitigation Fee <br /> , . <br /> Public Works Fee I __ � �tRE�,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 Existing Bldg._ <br /> Update/New Fire�ervice Yes No Existing Bldg._ <br /> Approved by: Date: �..� <br /> Comments: �/ <br /> l <br />