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` <br /> FOR OFFICE USE ONLY PERMIT# � � � <br /> --�, <br /> , <br /> . BUJLQIN�. ... <:.. ,. _. > . ,. . ; . .. ;j „ .; ;RL.AMN PI� ;: <br /> Bldg/TI/Addn/Rem Size Zoning Classification ���U <br /> Garage Size Overlay/Agreement M v� <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: j11[��� <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: l School Impact Fee Credit: <br /> Structural Approved BylDate: ( 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 /> �'UBLIC WORK�. <br /> °. p��g : r°: INTAKE: Checked By: Date: <br /> _. _. . . __ . , . <br /> Plan Check Fee Comments: � <br /> Building Permit �b� � � <br /> Surcharge High Hazard Sites(Dental/Medical,A als,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 WorksPermit-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 FIF�� �LPARTMENT, , <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 /> �,�— �� ; �� b. <br /> �� ��. <br />