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..=RMIT # iil �PO�j' O (�� <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bidg/TI/Addn/Rem Size � � <br />Garage Size <br />VALUATION <br />Number of Stories <br />Occupancy Group � � � <br />Occupant Load <br />Basement Yes � No Fin/Unf <br />Type of Construction v� I� <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 Ap lies Yes <br />Deferred Submitt q'd Yes `' No <br />Approved by: Date: � -/� _ / (, <br />Commentsi.�" <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 />PLANNING <br />Zoning Classification " �� <br />Overlay/Agreement <br />Nonresidential Use ----� <br />Residential Use S � <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 />Approved b : Date: <br />Historic Approved by: -- Date: — <br />School Mitigation Reqd? Yes No <br />Everett School Dist Mukilteo School Dist <br /># of Net New Units: <br />Caiculated School Impact Fee: — <br />School Impact Fee Credit: — <br />Total School Impact Fee Owed: � <br />Comments: <br />� ���� ��� <br />� �e �� ►� <br />PUBLIC WORKS <br />Intake Checked By: Date:� -20�� <br />Intake Comments: <br />No �2v �►efii�cd— 2!,( ..ir���Lh�r- �rk- <br />PW Permit Application Submitted? Yes No� <br />PW Worksheet Required? Yes No �_ <br />PW REVIEW: PW Reviewer: Date: Sr'a� �a�d <br />� SEE PW WORKSHEET-returned to file <br />PW Permit Approved, �� PW Permit Not Required <br />FIRE DEPARTMENT <br />Update/New Sprinklers Yes No isting Bldg._ <br />Update/ New Detection Yes Existing Bldg. _ <br />Update/ New Chemical Ye No Existing Bldg. _ <br />Update/ New Fire Service es No Existing Bldg. _ <br />Approved by: Date: <br />Comments: <br />�l2 <br />