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����� <br /> FO�` OF�C�� USE ONLY PERMIT# \,[�/L\-L�~�� <br /> • • �����' <br /> • ,' • BUILDING <br /> .����^��' ''��'' ��' <br /> �` v� ��� `.�' �ii�^ ���'���i��`��ZZii�i .����� �������'��`;��. �`�"��: [�����PLANNING <br /> .��'��.|���i`���/�!�'��'���� <br /> Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stheo 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 /> � <br /> Type cfCunutmohnn '� needed before�na|? Yes No <br /> Existing Sprinkler System? Yes NoUnkPlanning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes NoUnkHistoric 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 /> Adu'|eovVs^.asu000mquinedpho,m5no|vvauNo Calculated School Impact Fee: <br /> Architectural Ad By/DSchool Impact Fee Credit: <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> -4~ <br /> Ki�) /`-e'���i1�\��� <br /> ~ <br /> Intake OK by: Intake OK by: Ok to route Hold <br /> Make this a"W Permit? Yes No <br /> � . �� �^� ;tv`�'� ��-� <br /> s.;.'.' .,�,-�����ms.'`� n,'.=��.= ��n"����,o+�' '^` � /'`a� `.^'^^ <br /> • <br /> • <br /> Ch <br /> d <br /> FE~_S .` ,' � `,��` = ���`'..,.. ' ' <br /> Plan Check Fee Comments: <br /> Building Permit [ ^ut / <br /> 1etriAii r\4-,61 <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0Public Works/Sys Dev/Traffic Mit./RPBA'NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee §,'�'�'�''�������;���;��/ \ FIREENT .2.. ' ��|!/�� .•��'�School Mitigation Fee Update/New Sprinklers Yes NoExisting Bldg. <br /> __. <br /> Update/New Detection Yes No Existing Bldg. <br /> Updatel New Chemical Yes No Existing Bldg. <br /> Update/New Fire Service Yes No Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br /> Apt • <br /> rjiy, <br />