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FOR OFFICE USE ONLY PERMIT# r� 1��b�'�2`l <br /> ; ' 'RUIL,�1N� ' ; <br /> �. <br /> ` ���� �. �°�:, ., �:PLA[�1NtN�. :. : .�`.. ��; � <br /> Bidg/TI/Addn/Rem Size Zoning Classification � '� <br /> Garage Size Overlay/Agreement <br /> VALUA710N Nonresidential Use � S �.)� <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 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: �-�� '� <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 GalCulated School Impact Fee: <br /> Architectural Approved By/Date: . f(� l.� 'I, ►? School Impact Fee Credit: <br /> Structural Approved By/Date: 1�7 c1t�2e'�D 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 /> PUBLI�WORKS <br /> F£�� ` ' ` + ` ' . ,.�; INTAKE: Checked By: Date: <br /> . _ , . .. . <br /> Plan Check Fee Comment� � <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(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 FERE�DEPARTMI�NI`,...=' <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 /> �v <br />