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FOR OFFICE USE ONLY RMIT # G{��J � U I� <br />BUILDING <br />BIdg1Tl/Addn/Rem Size <br />Garage Size <br />VALUATION �' ��::-�� ` <br />Number of Stories <br />Occupancy Group C�_ <br />Occupant Load <br />Basement Yes No 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: �.1,� - - Date: �/�Za � <br />Comments: �J �� � �rL�. <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 />,�( <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 />Historic Approved by: /Date: <br />School Mitigation Reqd? Yes No <br />Everett School Dist ukilteo School Dist <br /># of Net New Units: <br />Calculated S ool Impact Fee: <br />School Im ct Fee Credit: <br />Total School Impact Fee Owed: <br />Comments: <br />�� ���� � �`��� � <br />PUBLIC WORKS <br />Intake Checked By: � Date: S— lg ��/6 <br />Intake Comments: �� �(,(J ���ls <br />PW Permit Application Submitted? Yes No_� <br />PW Worksheet Required? Yes No .� <br />PW REVIEW: PW Reviewer: Date: S--IB'�20/� <br />N�' 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 />