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FOR OFFICE USE ONLY PERMIT#Sl��l "��� <br /> ; Bl11LDING, .?; ' ,_ ; <br /> > ' ..,�,-. 'PL.ANAI1iVC� <: <br /> Bld _. _ . <br /> g/TI/Addn/Rem Size Zoning Classification � <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use � � CQft�,�Q�"' � iC <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 X <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date: 1�2� 2�1-� <br /> Existing f ire Alarm Yes No Unk Historic Approved by: 1� � Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No� <br /> Reason Everett School Dist Mukilteo Schooi 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: y�, $ School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee O ed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W" Permit? Yes No <br /> PU�LIC WDRFCS <br /> ���g > INTAKE: Checked By: Date: <br /> _.. .._.. <br /> _ _ .. <br /> Plan Check Fee Comments: • <br /> Building Permit � `�� r�'�0,� `"-"" <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 /> . <br /> Public Works Fee ' flR��;D�PA�TM�N'F <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 />