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FOR OFFICE USE ONLY I PeRnn�T# f�� 7 ra�a�b <br /> ' ' ;BUILDING :; . ., °, i . ... . .. PI.ANNI�IC�: `.. <br /> Bldg/TI/AddnlRem Size s� Zoning Classification <br /> Garage Size — Overlay/Agreement <br /> VALUATION �O Q4�d Nonresidential Use <br /> ( / <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 X 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 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 By/Date: School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: ���+�`1� Intake OK Ok to route Hold✓ <br /> Make this a"W" Permit? Yes No <br /> . R`����BLIC WORK� <br /> F���,` INTAKE: Checked By: Date:� <br /> _. ,, . ...__.. _ _.. . _ <br /> __._ _,._; <br /> Plan Check Fee Comments: `�'""0 ' ,�, �Q <br /> J�� <br /> Building Permit �y � <br /> Surcharge High Hazard Sites(Dental/Me ical,AnTmals,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 /> Public Works Fee �'IR��D M��1T ` <br /> School Mitigation Fee Update/New Sprinklers Y o Existing Bldg._ <br /> Update/New Detection -Yes� No Existing Bldg._ <br /> Update/New Chemical es No Existing Bldg._ <br /> Update/New Fire Service Yes No / Existing Bldg._ <br /> Approved by: Date: Z� – <br /> Comments: <br /> a,� �re a-�e� � 5��pt�� 2 <br />