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FO�� OFFICE USE ONLY PERMIT <br /> .�������'''`�� l`''�' <br /> ���������� ���i������`''�`��!�I����'` ��`�p�'��,�r�!�����/�!� <br /> Bldg/7VAddn/RamSizo Zoning Classification <br /> Garage Size <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 lnspction <br /> Type of Construction ^ needed before final? 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 KUuki8eoSchool Dist <br /> ____ <br /> RCW 64.55 MF worksheet req'd for permit? Yes No #of Net New Units: <br /> *mu'|acxmo4.asdvoorequisdphormfino|?YooNo Calculated School Impact Fee: <br /> By/Date:Architectural Approved ~~r-� ^ ��^ Schoo| |mpaotFeoCnodit <br /> / ^_��^�- it* <br /> / � '^�/� <br /> , � <br /> Structural Approved By/Date: Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: Intake OK omu,route Hold <br /> Make this a"W'Permit? Yes No__. <br /> ��!��n^� <br /> � � ��.'�`��/'�a <br /> WORKS <br /> � � � ;�z�;�`�` INTAKE: Checked �� Dato <br /> ����� `���j�����^�`/�z'��//���' '������`s,,°v�r��z.��� ~ 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 0Public Works/Sys Dav/TraffioMit./RPBA'NOT REQUIRED <br /> Plumbing Fee 0 <br /> 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- <br /> Sewer Fee 0 See PW Review Worksheet <br /> Systems Dev. Fee 0 PW Permit Not Required <br /> TroificMitigation Fee <br /> Public Works Fee �.�'/�|S��''`���!�/����.���.��������FIRE DEPARTMENT �������������'{.x'/'�����.�( <br /> School Mitigation Fee Update/New Sprinklers Yes No ExiotingB|dg. __ <br /> Update/New Detection Yes NoExisting Bldg.____ <br /> Update!New Chemical Yes No Existing Bldg.___ <br /> Update/New Fire Service Yes NoExisting Bldg.___ <br /> Approved by: Date: <br /> Comments: C2.1''' <br />