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FOR OFFICE USE ONLY PERMIT# l 7D�-/�(P Zi <br /> ,., � <br /> , _ <br /> � ���� '� �,���' �U�L.[�I�IC� `.:; � �.. ., .. ' <br /> . _ <br /> �.„�E'M.tA��11�M�_.�... ��, <br /> Bld /TI Addn/Rem Size Zoning Classification <br /> Garage Size "— Overlay/Agreement <br /> VALUATION (�vt� 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: �-- 0�—�� <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: ��� ,�' J? School Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: j��—� g�� ��-� ��`�� Comments <br /> Intake OK by: � ( �"�" Intake OK by: l�� Ok to route Hold _ <br /> Make this a" Permit? Yes No <br /> AUBI.IG-WORK�. . <br /> F���, ': INTAKE: Checked By: Date: <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: <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 ` _ �IR�;DEPAF�7A11�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: ,�'' <br /> 4 � <br />