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FOR OFFICE USE ONLY PERMIT# Y°�������� <br /> , . <br /> BUILI31�1G . . . �::. '. , ' , ;Rtr4N�JIN� � . ... <br /> Bidg/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 � or Planning Inspection ����`�Y��� <br /> Type of Construction needed before final? Yes_ No w� <br /> Existing Sprinkler System? Yes No Unk_ Planning Inspector: .Q,QG� .Q�('� <br /> Fire Sprinkler Required Yes No Phone#: `Z, -'�i'�� ' �'`ZFS� <br /> Reason Approved 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 /> Arc ' ral Approved By/Date:M��' ���� � 3�/�� School Impact Fee Credit: <br /> Structural proved By/Date: Total School Impact Fee Owed: <br /> Comments: � Comments: ;/'6 U�'.� �"'p ��� ��� <br /> �� �� �� " <br /> Intake OK by: m�f�" Intake OK b . Ok to route � Hold _ <br /> Make this a"W" Permit? Yes No <br /> RUBLIC WO�KS <br /> ���� . 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 FIR�:D��ARTMENT <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 />