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FOR OFFICE USE ONL1� PERMIT#,,,� C 'fi��� <br /> ` ; �UILQIN� ' ' <br /> � <br /> ,. ;. <br /> , : PLANNINC : . . ; <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 Sc ist <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 F e: <br /> Architectural Approved By/Date: School Impact Fee Cr �t: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> • olor d�- s�� w�s�- �� a�,�' <br /> �. �a �'�,�.� �ra-.;�d��n c.s��eQc� <br /> Intake OK by: Intake OK by: � Ok to route � Hold <br /> Make this a"W"Permit? Yes No <br /> ,: ' . .PUBLIC WORKS.. ' <br /> � I���ES� ��� �: INTAKE: Checked By: Date: <br /> __. _.. .. _ _. _. _ __ _._ <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surchar'ge 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:_�' �?.Qi <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 FIRE'DEPARTM�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 />