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�OR OFFICE (JSE OiVLI' PERM�T# �� ���'(� '�� � <br /> _ _ <br /> � � �. �� � <br /> BU1L�I�1G , '_ , ;, P�ARlid1P�G <br /> _ _ . _ _ _ _ <br /> Bldg/TI Addn/Rem Size :�^��j'b Zoning Classification -� <br /> Garage Size 'r Overlay/Agreement <br /> VALUATION U�,� 'OOo 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 o7 Construction \� � � needed bEfore final? Yes_ No_ <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No� Phone#: <br /> Reason c� �X��f Approved by: Date: � �2 ����'�- <br /> Existing Fire Alarm Yes_ No� Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No� School Mitigation Reqd? Yes_ No_ <br /> Reason �f�-� 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: /�/��� �PS� 143�1 School Impact Fee Credit: <br /> Structural Approved: Date: � �} Total School Impact Fee ed: <br /> Comments: Comments: <br /> Intake OK by: �I �� Intake OK t5 . ok to route � Hold � <br /> Make this a"W" ermit? Yes No <br /> , < � . .. ....�„PUB.LiCWORI�S.::' . ! _ `' <br /> FEES ` 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 se arate reen 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 /> . < _ �'FIRE.DE�ART�UIENT <br /> Pubiic Works Fee " <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 Bidg._ <br /> Update/New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br />