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FOR OFF/CE USE ONLY PERMIT# V► e 1��"6�o�
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<br /> Bldg/TI/Addn/Rem Size Zoning Classification �Z
<br /> Garage Size Overlay/Agreement
<br /> VALUATION Nonresidential Use �.C�M'�'�e✓G�
<br /> Number of Stories Residential Use r"
<br /> < Occupancy Group Proposed No.of Dwelling Units:
<br /> _�
<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 S rinkler Required Yes_ No Phone#:
<br /> Reason A proved by: � Date: �'-1��
<br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: Date:
<br /> Fire Alarm Required Yes 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 No #of Net New Units:
<br /> Add'I RCW 64.55 docs required prior to final?Yes No CalCulated School ImpaCt Fee:
<br /> Architectural Approve�: Date: School Impact Fee Credit:
<br /> Structural Approved: � 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
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<br /> �4 y� ��� � ���, � ' .� � INTAKE: Checked By: �Date:
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<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 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 se arate reen 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 �=< �� p�� � � ��� �.�,, ,��� �,.a����;�„�����;..
<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 /> U date/New Fire Service Yes No Existing Bldg._
<br /> Approved b : Date: _
<br /> Comments:
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