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� FOR OFFICE CIS� ONL� PERMIT# ��o���b�� <br /> ,. , <br /> , ;,BUILDIN� . ... <br /> . ::. . PLANNINC, ; ; :. <br /> Bldg/TI/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 oc Planning Inspection <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 � Date: / j � <br /> Existing Fire Alarm Yes No Unk Historic Approved by: �'---flate: <br /> Fire Alarm Required Yes Na_ 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 Unifs: <br /> Add'I RCW 64.55 docs required prior to final?Yes No Calculated School Impact Fee: <br /> Architecturaf Approved By/Date: �i �,��— f School Impact Fee Credif: <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 /> PUBLIC INORf�S . <br /> ��E�, ::': >: 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 Warks/Sys Dev 1 Traffic Mit.I 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 /> Traffic Mifigation Fee <br /> : , <br /> ,,, <br /> Public Works Fee �. ; fIR�:`DEPARTM#�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 />