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� ` <br /> ��� �6��B�1� �9�� ���SY ����t��'� � �� i <br /> _ ��9oL�l�l� _ ���dP�EY�G <br /> _ �� � � <br /> Bldg/TI/AddnlRem Size Zoning Classification ' <br /> Garage Size Overlay/Agreement <br /> VALUi�TfON g��� 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 InspecYion <br /> Type of Construction needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No Unk_ Planning Inspecfor: �� �l`�� C ��� e�1 <br /> — — � _ <br /> Fire Sprinkler Required Yes_ No_ Phone#: � ��� � , 2 �- � L` ac <br /> Reason Approved b,� Date: ,�1 �l L��� <br /> Existing Fire Alarm Yes No_Unk Historic Approved by: i; ,� 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 Ov�ed: <br /> Comments: Comments. MC t�,25. O�O.F>�-i.(.H> <br /> �1��� V`�G '7 V��C����C'_� �, 1.J�1,�,��^ib'l,� C�'� <br /> �. C���'C��'1�.�� �r� � �,�. i��`�'�`n���. C��- <br /> Intake OK by: Inta OK by: �' c�C�, �k to route _ Hold _ <br /> Make this a "W" Permit? Yes No <br /> PUBL,IC 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- P10T REQUIFED <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 Wcrks Fee �A�� ���������� <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 /> Z�Z <br />