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FOR OFFICE USE ONLY PERnniT# I���o� `G�--✓q- <br /> _ <br /> ,� � <br /> �: � ., ;� . . � � � �. :�;�3UILt?IN{���':� �:: . . .. �� . .. � ���. -,�. �.' . � ���� . ;PL.A�,INII�IC� � <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 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: t.coT Y�^`p '� �-"��'� Comments: <br /> szcr,..c...-n.,�ac.�/ ,a,�p, s.�./(ry�h�- <br /> Intake OK by: Intake OK by: Ok to route Hold _ <br /> Make this a"W" Permit? Yes No <br /> �?UB�.IG WORK� , : <br /> ���F�E�� �' .°:�� INTAKE: Checked By: Date: <br /> _ <br /> _... <br /> Plan Check Fee Comments <br /> Building Permit <br /> Surcharge High Hazard Sites(DentaUMedical,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 /> MechanlCal Fee ❑ Public Works Permit-Concurrent Review(separate reen 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 `."�!R€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: <br /> �;.. <br />