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FOR OFFICE USE ONLY PERMIT# <br /> BUILDING , PLANNING <br /> Bldg/TI/Addn/Rem Size �g 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: -------a <br /> y.�,_-�, � <br /> Occupant Load ���`� c� i-�0�� Total No. of Dwelling Units: <br /> Basement No I_S Yes Fin / Unfin Landscape or Plannir.g Inspection <br /> Type of Construction needed before final? Yes No� <br /> Existing Sprinkler System? Yes � No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes T No Phone#: <br /> Reason Approved Date: � � �I <br /> Existing Fire Alarm Yes � No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes� No School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilte ool 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 N CalCulated Sc mpaCt Fee: <br /> Architectural Approved By/Date: !�� �,� Ii % Sch mpact Fee Credit: <br /> Structural Approved By/Date: '--� Total School Impact Fee Owed: <br /> Comments: Comments: <br /> Intake OK by: �� �d/ `� Intake OK / Okto route Hold _ <br /> Make this a"W" rmit? Yes No <br /> PUBLIC WORKS <br /> FEES INTAKE: Checked By: Date: (� o '�1� <br /> Plan Check Fee Comments: � <br /> Building Permit �r��� ��� ����' <br /> SurCharge High Hazard Sites(Dental/Medical,Animals, Mortuary,etc-Review for RPBA) <br /> Additional Plan Check � Pubiic Works/Sy�/Traffic Mit. /RPBA- NOT REQUIRED <br /> Plumbing Fee � Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green f Ider <br /> Ping Bidg Review Fee PW REVIEW: PW Reviewer D�__ -d- � � <br /> Water Fee ❑ PW Permit Approved- PW <br /> Sewer Fee ❑ See PW Review Worksheet <br /> Systems Dev. Fee W Permit Not Required <br /> Traffic Mitigation Fee <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes No Existing Bldg.� <br /> Update/New Detection Yes No Existing Bidg. <br /> Update/New Chemical Yes No Existing Bldg._ <br /> Update/New Fire Service Ye No Existing Bldg._ <br /> Approved by: Date: /� 7 <br /> Comments: <br /> ��6 �wk,�� }� � � <br /> -�--c: �-��,�-�..L,.--� <br /> Z � <br />