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c <br /> FOR OFFICE USE ONLY PERMIT# �(7 D��DQ�J <br /> ; � <br /> � �� '� � � � BIJ��[�INC�. ��� � ` ' ' : � <br /> _._. <br /> : . _ _. .: ;PLA�ININ� .`, ,.. .; , <br /> Bldg/TI/Addn/Rem Size Zoning Classification - <br /> Garage Size Overlay/Agreement � <br /> VALUATION Nonresidential Use ✓f <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No. of Dweliing 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_ <br /> Existing SprinklerSystem? Yes No Unk Planning lnspector: �PJ'��.5� W-Q.�C �� <br /> Fire Sprinkler Required Yes_ No Phone#: Q'�— ZS�' ���J� <br /> Reason Approved Date: � <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 Approved By/Date: School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments:�\r�(�$�C� �/�Uil✓�EC w <br /> 7 <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes No <br /> PUBLIC 1iUORKS <br /> FEES ' ::` INTAKE: Checked By: Date: <br /> :_ __. _. __ _ .. . .. <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dentai/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(bidg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bidg Review Fee PW REVIEW: PW Reviewer:_�Date: 9-Z g�i 7 <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet n�/ �d�o <br /> Systems Dev. Fee �PW Permit Not Required ���d SQWer� , <br /> Traffic Mitigation Fee <br /> Public Works Fee �'IR�D�PARTM�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 Bidg._ <br /> Update/New Fire Service Yes No Existing Bldg._ <br /> Approved by: Date: � <br /> Comments: � <br /> � ` <br /> �•. ... <br />