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FOR O� <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />Garage Size - � � ,S ' <br />VALUATION �G,� <br />Number of Stories <br />Occupancy Group �. <br />Occupant Load <br />Basement Yes No �C Fin/Unf <br />Type of Construction <br />Existing Sprinkler System? Yes No Unk <br />Fire Sprinkler Required Yes No <br />Reason <br />Existing Fire Alarm Yes No Unk <br />Fire Alarm Required Yes No <br />Reason <br />Enclosure Law Applies Yes <br />Deferred Submittal Req'd Yes No <br />Approved by: Date: % /Z �,;� <br />Comments: <br />Zu�/.�.- i✓Z-�. <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <br />=FICE USE ONLY <br />RMIT # �(���i(p ' � 1'� <br />.ANNING 1 <br />Zoning Classification t:` ' l <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use ��' <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: / <br />Phone #: � <br />Aonroved bv: Date: . <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes 'No <br />Everett Schooi Dist M�tY�ilteo School Dist <br /># of Net New Units: . <br />Calculated Schqol Impact Fee: <br />School Impa�f Fee Credit: <br />-� <br />Total Schooi Impact Fee Owed: <br />Comments: �V ,�v�.� ��` _ �� <br />�C? ����C c� � t����� c�eQ,�6. cN'� �� s� <br />UBLIC WORKS <br />Intake Checked By: Date: <br />Intake Comments: <br />l�d Oii(I . � �'��%��. <br />PW Permit Application Submitted? Yes No � <br />PW Worksheet Required? Yes No <br />PW REVIEW: PW Reviewer: Date: <br />�SEE PW WORKSHEET-returned to file <br />PW Permit Approved, � PW Permit Not Required <br />'FIRE DEPARTMENT <br />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: <br />Comments: <br />��Z <br />