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FOR OFFICE USE ONLY PERMIT#U Y 1,� v "`J ��� <br /> `` �1��1�DII�IC ,`' '. . '' PLA�iNIN�. .;. n <br /> Bldg/TI/Addn/Rem Size Zoning Classification �'� � <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <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 Calculated SChool Impact Fee: <br /> Architectural Approved By/Date: � t,� ��� 7 School Impact Fee Credit: <br /> Structural Approved By/Date: !�°� �- � �1�- Total School Impact Fee Owed: <br /> Comments: Comments: � �� � <br /> � <br /> Intake OK by: Intake OK by: Ok to route Hold <br /> Make this a"W" Permit? Yes No <br /> PUBLIG WORKS <br /> ���� . ': INTAKE: Checked By: Date: <br /> _ _ _.. _.. _. _._. <br /> Plan Check Fee Comments <br /> Building Permit <br /> SUrcharge High Hazard Sites(DentaUMedical,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 <br /> �:<�. <br /> � , <br /> ' FIR�.;D�PARTMENT �'.; ' <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 /> � <br />