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FOR OFFICE USE ONLY PERMIT# �� �d <br /> � ; . .: . a � u <br /> : .. ;,� �, �� � � - <br /> `�_, __ .��. . , � �� .. .., .:�U�LDING. : : � ' . . _��;: _ .:. � ,,'�, „FLAt�N1�V� .'_. ,. <br /> . _ . , ,_.., ., <br /> Bldg/TUAddn/Rem Size Zoning Classification " 1 <br /> Garage Size Overlay/Agreement �� <br /> VALUATION Nonresidential Use CPig ��lJ1l�,J�,'� <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: �' � ZO��' <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 /> i�0 e�lo�� �al�:� �`�O+ee�'se� <br /> Intake OK by: Intake OK by: Okto route Hold <br /> Make this a"W" Permit? Yes No <br /> PU�LIC"Wi`11�KS <br /> F��g. INTAKE: Checked By: Date: <br /> _ _. _ .. . _. _.. _ <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 ,`: ,�IF�E D�PARTM�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: € 4° <br /> � <br /> ��� r <br />