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FOR OFFICE USE ONL� PERnnIT# �II, (S�b ( '67�o <br /> , .. . , <br /> , • <br /> ;. _.:�U�LD.ING, ,;' <br /> , <br /> y ��� � ; `�PL.ItN�JtNt�S .:: , <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidentiai 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 /> J <br /> Existiag 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 Schooi Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes_ No_ #of Net New Units: <br /> Add'1 RCW 64.55 docs required prior to final?Yes No Calculated SChool Impact Fee: <br /> Architectural Approved By/Date: � '� School Impact Fee Credit: <br /> Structural Approved By/Date: V Total School Impact Fee Owed: <br /> Comments: Comments: <br /> u�6� ►��wt r�.� � fi�v�1 <br /> Intake OK by: � �3 �g Intake OK by: Ok to route Hold _ <br /> Make this a"W ermit? Yes No <br /> puB��c woRKs <br /> ' ���g INTAKE: Checked By: Date: <br /> _ ._ _.. _ _ _ <br /> Plan Check Fee Comments: <br /> Building Permit �r�� Y�� V'" ''�-�l '�"�' ���( <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 ', „ FIR��€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: � <br /> �Ot � � �( �'�w`c �,N,.�.�. <br /> :. 21z�� <br />