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��� ������ �r�r ���� ����o�� �1�1 o�-OO� <br /> �UIL�IP�� - ���14�IB�B� <br /> Bldg/TI/Addn/Rem Size Zoning Classification � p�__, <br /> Garage Size Overlay/Agreement <br /> V,4LU,4TIOftl Nonresidential Use �;l', �,'_..• <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 Planninc� Inspection <br /> Type of Construction needed before final? Yes_ �lo�� <br /> Existing Sprinkler System? Yes No Unk Plane�ing Inspecfor: <br /> Fire Sprinkler Required Yes No Phone#: <br /> i � Date: � i • �_� <br /> Reason Approved by: � �, I . <br /> Existing Fire Alarm Yes No Unk Historic Approved by: v 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: �j 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 /> PUBLIC WORKS <br /> FEES ' ' INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit �( I`�� ����1 � ' � <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 Bidg 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 ' �IRE DEP14Rl'MEN7 <br /> School Mitigation Fee Update/New Sprinklers Yes No Existing Bidg._ <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 /> L�� <br />