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t; <br /> FOR OFFICE USE ONLY PERMIT# 11 LI t U <br /> 116111"2"V <br /> v.`�`�:�x � 's<.. -, e.,� � -u,: �+. :>a='..r a ..��,•'�,-..� ,� <,;�. s•,s � ,,,.� �d 7t•.?r��•a ? �a� � t.. ..,.�'+a ^sr� ���6�K � .^�P,�t sci�3m a=��'k r� .3%,-';�";'' <br /> �.,-;,sem aa� �, �+ 3,�n��, ��, � � ,��> ;��" ;<k �`����fi'���'j:�,„,..'�, ..d � ,any aria..� '. 5 � K � a� ���efi?�� s� <br /> 16 3,v s 4:%;': r� 4. "'a'S"i .:�. 1 ;°h,q ;1 I `7 t: ark :'Rt'�'°{�`•��e. s j w i s�n`�`�2 PS "y;& S �' 'Y <4 3. ro <br /> Ss 0.h ;'.; t�- i . i&4 c 1 .,u at y .x �; ,y u is �s� s� � 't s.<. • !?� s+ . ?�?�+ta w i,. <br /> BldglTl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use kA,CC. <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: IA I 1\ f C`1. <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes_ No S( <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: Date: School Impact Fee Credit: <br /> Structural Approved: ; 2 Date: \ Total School Impact Fee Owed: <br /> Comments: Comments: <br /> CdR a,k(, Oq c\\--4AAAped. <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W"Permit? Yes_ No_ <br /> .� � 't INTAKE: Checked By: Date: <br /> fa-Plan Check Fee Y `�' <br /> Comments: b� mom <br /> rt <br /> l <br /> Building Permit V <br /> Surcharge High Hazard Sites(Dental,Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public 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 /> sAT �� � � <br /> Public 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 Bldg._ <br /> Update/New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: —Comments: <br />