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ffRMIT# bll.,2a -'0 1-17 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 1 ; <br /> i�C� �5 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION `i) t tO '"1 Nonresidential Use <br /> Number of Stories � Residential Use <br /> Occupancy Groupr <br /> p Y rte- Proposed No. of Dwelling Units: <br /> Occupant Load 1 2- Total No. of Dwelling Units: <br /> Basement Yes No 14in/Unf Landscape or Planning Inspection <br /> Type of Construction V--8 needed before final? Yes_ No <br /> Existing Sprinkler System? Yes No V Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No ✓ Phone#: <br /> Reason Approved '�- /r, <br /> a�L:___ �� Date: 171/e/ f 1" <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: Date: <br /> Fire Alarm Required YesV ____ School Mitigation Reqd? Yes_ No <br /> Reason - C(4 C- Everett School Dist Mukilteo School Dist <br /> Enclosure Lawplies Yes_ #of Net New Units: <br /> Deferred Subm' eq'd Yes No_ <br /> Approved by / Date: , (�, Calculated School Impact Fee: <br /> ep <br /> Comm . School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Intake Checked By: E- - Date: ��Z//Zfl /6- <br /> Building Permit Intake Comm ts: $S S- Civi i94-AM et 1)241ArtfriGE <br /> Surcharge pE T tomil /5Lta6 Pi". &cT®ACtxrvsP�'U r q b liia°a- E <br /> Additional Plan Check PW Permit Application Submitted? Yes No X <br /> Plumbing Fee PW Worksheet Required? Yes ) No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: 5-/3%6 <br /> Ping Bldg Review Fee >" SEE PW WORKSHEET-returned to file <br /> Water Fee X PW Permit Approved, PW Permit Not Required <br /> Sewer Fee <br /> Systems Dev. Fee t -q'Z1, C15FIRE DEPARTMENT <br /> Traffic Mitigation Fee Fire Sprinkler Required? Yes No <br /> Public Works Fee Fire Alarm Required? Yes K No <br /> School Mitigation Fee APPROVAL TO ISSUE PERMITS: Yes >( No <br /> SEE FIRE WORKSHEET-returned to file <br /> Fire Reviewer: \J Date Reviewed: 7 le`'(., <br /> Reviewed Unde ermit Type/#: <br />