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�OR OFF/C'� �15� ONLY PERIVIIT'�\ ��'���J <br /> ;, . _ : <br /> _: <br /> , . �L11�DtNG , ` ':PLAfVNtNG <br /> BldglTl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATIO�! Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Unifs: <br /> Basement No Yes Fin / Unfin Landscape or Pianning Inspec4ion _ <br /> Type of Construction - needed before final? Yes No <br /> Existing Sprinkier 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_ Hisforic 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 permif? Yes No #of Net New Units: <br /> Add'I RCW 64.55 docs�equired prior to final?Yes No Calculated SChool impact Fee: <br /> Architectural Approved By/Date: � School Impact Fee Credit: <br /> Structural Approved By/Date: .��-�' Total Schooi Impacf Fee Owed: <br /> Comments: Comrrients_ <br /> Intake OK by: Intake OK by: Ok to route Hold <br /> Make this a"W" Permit? Yes No <br /> PU.BLIC WORKS <br /> `��Eg:;, 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 Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet} <br /> MeChanical Fee ❑ Pubiic Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer. Date:8� - 7 <br /> Water Fee �PW Per t Approved- W <br /> Sewer Fee � See PW Review Worksheet <br /> Systems Dev. Fee ❑ PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee �IRE�UEPA TMENT <br /> School Mitigation Fee Update/New Sprinklers Yes No Existing Bldg._ <br /> Updafe/New Detection -Yes No Existing Bidg. <br /> Update/New Chemical Yes No �Existing Bidg. <br /> Update/New Fire ervice Yes No� Existing Bldg. <br /> Approved by: Date: f�t= <br /> Comments <br /> Z�, <br />