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FOR OFFICE USE ONLY RMIT# 616'63"'"0�� <br /> BUILDING ; ;i . <br /> ANNING <br /> :id!° I/Addn/Rem Size /960 S/ Zoning Classification • <br /> Garage Size g 5/ ,;i . Overlay/Agreement <br /> VALUATION 217 1470 Nonresidential Use <br /> Number of Stories 3 Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units:I <br /> Basement Yes No ik Fin/Unf Landscape or Planning Inspection <br /> Type of Construction ZE needed before final? Yes No <br /> Existing Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved b 4y / Pate: <br /> zG <br /> Existing Fire Alarm Yes No Unk Historic Approv-d by: / Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submiftal R q'd Yes No <br /> Approved by: Date:(SW f,7 Calculated School Impact Fee: <br /> Comments: 2o/awsg-cSchool Impact Fee Credit: <br /> I Total School Impact Fee Owed: _ <br /> Comments: <br /> I 1 I <br /> FEES PUBLIC WORKS <br /> Plan Check Fee - Intake Checked By: Date: <br /> Building Permit Intake Comments: <br /> Surcharge <br /> Additional Plan Check • PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? i Yes N <br /> Mechanical Fee PW REVIEW: PW Reviewer:-'111F.4"-Date: Wsiis' <br /> Ping Bldg Review Fee AS SEE PW WORKSHEET returned to file <br /> Water Fee PW Permit Approved, PW Permit Not Required <br /> Sewer Fee <br /> Systems Dev.Fee , FIRE DEPARTMENT <br /> Traffic Mitigation Fee Update/New Sprinklers Yes No Existing Bldg. <br /> Public Works Fee Update/New Detection Yes No Existing Bldg. <br /> School Mitigation Fee Update/New Chemical Yes No Existing Bldg. <br /> Update/New Fire Service Yes No Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br /> v <br />