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FOR OFFICE USE ONLY PERMIT# ��6� 'd�� <br /> , _ _ .. ,_ �, <br /> � ` , ��� . BUII�DINC � `� ' � �� '. . ±. . . PLANNING �����_ : <br /> BI !TI/ ddn/Rem Size � Zoning Classification � �.._ <br /> �� <br /> Garage Size Overlay/Agreement <br /> VALUATION 7,f^ �� Nonresidential Use `�(Q� <br /> Number of Stories �/ Residential Use "'—� <br /> Occupancy Group Proposed No.of Dwelling Units: ,� <br /> Occupant Load J 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 Approved by: Date: �'ZZ'�� <br /> Existing Fire Alarm Yes� No_Unk Historic Approved by Date: <br /> Fire A1arm Required Yes�'Z 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 N #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/Dat � School Impact Fee Credit: <br /> Structural Approved BylDate: Total School Impact Fee Owed: <br /> Comments Comments: <br /> �� � ��� ��� <br /> � Intake OK b Ok to route Hold _ <br /> Intake OK by: � 0 22 �� Y� <br /> Make this a"W' ermit? Ye No <br /> 1�UBLIG WORKS <br /> F�ES ' INTAKE: Checked By: Date: <br /> _ _ _ .. .. _ _._ _ <br /> Plan Check Fee Comments: <br /> Building Permit �`� � r� 1�/��� <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 /> Traffic Mitigation Fee <br /> Public Works Fee ' �IRE�EPA TM�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 Fir Service Yes No Existing Bldg._ <br /> Approved by: Date: �-�-� <br /> Comments: L�{,t,,r� <br /> �1�' s�,/bl ���J�re..�, �. <br />