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FOR OFFICE USE ONLY PERMIT# � � �D�� '!'���°,�) <br /> , <br /> ;:gUIL�1N(� ; ; Pl�t#NNING . , <br /> Bldg/TI/Addn/Rem Size Zoning Classification `— <br /> Garage Size Overlay/Agreement ""—"—` <br /> VALUATION Nonresidential Use v� ^�, s } <br /> Number of Stories Residentiai 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 Pianning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date:� �Q �-C l''r' <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 Mukilte ooi 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 I ct Fee: <br /> Architectural Approved By/Date: School Impact Credit: <br /> Structural Approved By/Date: 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 /> _ <br /> , PUB�I�WORKS. <br /> FEES : ? INTAKE: Checked By: Date: <br /> _. _. __ __. _ _ _ .. .. <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 /> 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 /> PubGc Works Fee � ' FIFtE���PARTM��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 <br /> ��� <br />