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FOR OFFICE USE OMLY PERMIT# �� <br /> BUILDING PL.ANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification �`� �' ' � <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use +,'V\L��J\1r��G�, '� � �(����;� <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 /> — — =-� \�2 2��`�- <br /> Reason Approved by:� �,� Date: � <br /> Existing Fire Alarm Yes No Unk Historic Approved by: r.; ,� 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: �.�.�,�,1�-',��� ����`���� �`,��`;��' ?�� <br /> � <br /> �Li\LL:��\�C,r;�:�1nCj �'V�C�J����.0 V�i •,n� �;'�� <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: Check d By: Date: <br /> Plan Check Fee Comments: ����-_-(;�����(/�.�'�� <br /> .l <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 eview(separate gre n f der) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee ❑ PW Permit Approved-PW <br /> Sewer Fee ❑ See PW Review Worksheet n, �� '"'""'�' <br /> Systems Dev. Fee �PW Permit Not Required -{p �%�rl�!J <br /> Traffic Mitigation Fee �►' <br /> Public Works Fee FIRE DEPART ENT <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 />