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FOR OFFICE USE ONLY <br /> RMIT# 161 i1W6� <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 1 7_ 2._ Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group S Proposed No. of Dwelling Units: <br /> Occupant Load / Total No. of Dwelling Units: <br /> Basement Yes No'Fin/Unf Landscape or Planning Inspection <br /> Type of Construction V— /3 needed before final? Yes No <br /> Existing Sprinkler System? Yes No �Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes No ✓Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No ✓ School Mitigation Reqd? Yes No <br /> -Reason Everett School Dist Mukilteo School Dist <br /> j <br /> Enclosure Law pplies Yes �y1� #of Net New Units: <br /> Deferred Sub/tt. eq'd Yes `"/No <br /> Approved ,A _ Date:. 0 7 _ / Calculated School Impact Fee: <br /> Comme s: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> N6 P.FAi%tA, kyywoz/ - 710 <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Intake Checked By:. -- Date: 'v—Ry-20/6 <br /> Building Permit Intake Comments: / Ulm <br /> Surcharge NN p (1r�-`�r - . <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No X <br /> Mechanical Fee PW REVIEW: PW Reviewer: _A4- Date: 4-"Zq--70/‘ <br /> Ping Bldg Review Fee 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 Fire Sprinkler Required? Yes No <br /> Public Works Fee Fire Alarm Required? Yes No <br /> School Mitigation Fee APPROVAL TO ISSUE PERMITS: Yes No <br /> Fire Reviewer: Date Reviewed: <br /> Reviewed Under Permit Type/#: <br /> Comments: <br /> j - g_4.-€1.01 <br /> 2(3 <br />