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FOR OFFICE USE ONLY PERMIT# V��I � � <br /> . r - - <br /> : „ BU1LD,tlNG - `i ., : ;PLAMNING. . .. . <br /> Bldg/TI/Addn/Rem Size Zoning Classification –� <br /> Garage Size Overlay/Agreement �4 � /�� <br /> VALUATION Nonresidential Use x <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: �r'I L' Date: � , ( <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No Schooi 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 BylDate: School Impact Fee 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 /> ` ' P1iB�IC WORK� <br /> ���E�� �,' ''� 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: //'ZZ/ <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 � � � <br /> , , <br /> , , <br /> ,; ? �IR�D�PARTMENT , ,,, <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: ,A <br /> � � � �!/��/� _ � V� ��" <br />