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FOR OFFICE USE ONLY PERMIT# �t��o �'�c <br /> , . , . <br /> '� BUILDING. ' _ _.. ; ,. RLAN�ItNG ' <br /> BidglTUAddn/Rem Size � Zoning Classification � -- <br /> Garage Size � Overlay/Agreement "'-'----- <br /> VALUATION � Q d� Nonresidential Use � <br /> Number of Stories � Residential Use — <br /> Occupancy Group � Proposed No. of Dwelling Units: --" <br /> Occupant Load � `�' � � � �a Total No.of Dwelling Units: �"–' <br /> Basement ' No O Yes Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction V '� needed before final? Yes_ No� <br /> Existing Sprinkler System? Yes 2� 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 o Dist <br /> RCW 64.55 MF worksheet req'd for permit? Yes N #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes No,� CalCulated ol ImpaCt Fee: <br /> Architectural Approved By/Date: Sc Impact Fee Credit: <br /> Structural Approved By/Date: l2- t � Total School Impact Fee Owed: <br /> Comments: � Comments: <br /> Intake OK by: � � ��" Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" ermit? Yes No <br /> , ' AUBLIC WORKS ' ,; ; <br /> '' FEES...;, ' ' ;' , INTAKE: Checked By:� Date: <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 '.: FIRE DEPAR�M�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 />