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� <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bldg/TV dd eri; Size ,5;� 5. ��'i;J <br />� /377 �' r�a� <br />VALUATION ��Ci C�'c�� <br />Number of Stories �' <br />Occupancy Group fi�� <br />Occupant Load <br />Basement Yes No Fin/ nf <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: � ��- /(� <br />� <br />Comments: ��� ��L ¢ �,`ys'�� <br />T' <br />�l.(A �'►q t°�11�.iC�. � ►"'1 �.-6-�Gl.N� �- i1-L � <br />�zL�.L=�L�...�(_..�L �+�.tY.✓�l'�/ � �.��-4 �U . <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 />�RMIT # �)I �� �� �D� � <br />PLANNING <br />Zoning Classification <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 />Approved by: Date: <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No <br />Everett School Dist Mukilteo Scho ist <br /># of Net New Units: <br />Calculated Schoo pact Fee: <br />School Im ct Fee Credit: <br />Total Sc ool Impact Fee Owed: <br />Comments: <br />!� 1 -C�1 <br />PUBLIC WORKS <br />Intake Checked By: Date: 5-3— Z��C <br />Intake Comments: �%�?S'C:_ .D�'l�W�S in �/4ils` �-��'�� � ��V�F- <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 ��P�C� Y'�'rml� <br />/`f f'PRe V�'� <br />PW Permit Approved, PW Permit Not Required <br />FIRE DEPARTMENT <br />Fire Sprinkler Required? Yes No � <br />Fire Alarm Reauired? Yes No ` <br />APPROVAL TO ASBUE PERMITS: Yes N <br />Fire Reviewer: �""�Date Reviewed: �, L �; —�r�, <br />�. . <br />Reviewed Under Permit Type/#: <br />Comments: �1 <br />�`� <br />