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FOR OFFICE USE ONLY PERMIT# I► �I��2' b� �.Q <br /> ; ; ., . , . . <br /> BUILDINC , ` , ; <br /> _ „ __ _.... _ _ . <br /> _PLAI�NING . <br /> Bldg/TI/Addn/Rem Size Zoning Classification t�'.L�''�lJ <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 K <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date: � ����6 <br /> Existing Fite 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: School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: � � �� bv� ,Q�SFiyta� <br /> �� �.�cJ � J <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W" Permit? Yes No <br /> `RU�2LIC WORKS <br /> FE�g ; ; 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 ❑ Public Works Permit-Concurrent Review(separate green folder) <br /> PingBldg 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 ;�� FlF'tE;DEP�1;'RTM�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 Bldg._ <br /> Update/New Fire Service Yes No Existing Bldg._ <br /> Approved by: Date: <br /> Comments: �;Y <br /> ��,...__._ ,,1 <br />