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� FOR OFFICE USE ONLY PERMIT#�1� I �� ��� <br /> , :. , ., <br /> � , . _ ; <br /> ' .�U�L-DING. �' ; ` '. PLANNING.. `. <br /> , ._.__ , _ . . . _ ._, <br /> Bldg/TUAddn/Rem Size Zoning Classification �, � � <br /> Garage Size Overlay/Agreement �� <br /> VALUATION �3 �Sj 4 3g 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 lnspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date: �Q 3� Zd� <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 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: <br /> Intake OK by: Intake OK y: Ok to route Hold <br /> Make this a"W"Permit? Yes No <br /> FUBLIC 1NORK�. <br /> F�E� ` INTAKE: Checked By: Date: <br /> _.. ____. _ __ _. _ ._ ._ .. . <br /> Plan Check Fee Comments: � <br /> Building Permit �1�� ��� r`W v <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 /> Public Works Fee F�"IR�:DEPAR`i'M�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: ,,,�' ' —/{ w.,� <br /> �. �/� �i <br /> . �'�,e�_...-- <br /> � <br />