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FOR OFFICE USE ONLY PERMIT# (St -6510 <br /> BUILDING " PLANNING <br /> Bldglfl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 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 of Construction needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes_ 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? es <br /> Reason Everett School Dist Mu chool 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 Scho• Impact Fee: <br /> Architectural Approved By/Date: School Impac ee Credit: <br /> Structural Approved By/Date: �. �� Ji Total Scho. Impact Fee Owed: <br /> Comments: Jnr, Comment.: <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: Checked B Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals, I ortuary,etc-Review for RPBA) <br /> Additional Plan Check ❑ Public Works/Sys Dev/Traffic it./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Revie (bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurr: t Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Review=: ate: <br /> Water Fee 0 PW Permit Approved PW <br /> Sewer Fee 0 See PW Review •rksheet <br /> Systems Dev. Fee ❑ PW Permit Not 'equired <br /> Traffic Mitigation Fee <br /> Public Works Fee FIREDEPARTMENT <br /> School Mitigation Fee Update/New .prinklers Yes_ No_ Existing Bldg. <br /> Update/N= Detection Yes_ No_ Existing Bldg. <br /> Update/ .ew Chemical Yes_ No_ Existing Bldg._ <br /> Updat; New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br /> \ �L <br />