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FOR OFFICE USE ONLY RMIT# J UO'-D`I CO <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification - <br /> Garage Size p6Ck. 2 ,6 I Overlay/Agreement <br /> 65-25- <br /> VALUATION ( 5 2 5 Nonresidential Use <br /> Number of Stories Residential Use {- i2 <br /> Occupancy Group u Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: __--- <br /> ----- <br /> Basement Yes_ No_Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final?„--'Yes_ No_ <br /> Existing Sprinkler System? Yes No Unk_ Planning Insp�etor: <br /> Fire Sprinkler Required Yes— No Phone#: C/ <br /> Reason Approved by: E _ - Date: S i23/1(9 <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 l oI Dist <br /> Enclosure Law Applies Yes_ #of Net New Units: /'7 <br /> Deferred Submittal Req'd Yes No_ � <br /> Approved by: eji/' Dater//f6 Calculated Scb.e I Impact Fee: <br /> Comments: 242/2 f ec School Im ct Fee Credit: <br /> Total ool Impact Fee Owed: <br /> Cor orients: <br /> v\ r)\l}7 10 <br /> FEESPUBLIC WORKS <br /> Plan Check Fee Intake Checked By:4/1F, 1" Date: 5-23--3-- 20/6 <br /> Building Permit Intake Comments: N-0 go <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes No )(-- <br /> Plumbing <br /> Plumbing Fee PW Worksheet Required? Yes No x <br /> Mechanical Fee P REVIEW: PW Reviewer:IF,* Date: 5-,93-2-0i4Ping Bldg Review Fee All ft-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 Update/New Sprinklers Yes No Existing Bldg._ <br /> Public Works Fee Update/New Detection Yes No Existing Bldg. <br /> School Mitigation Fee Update/New Chemical Yes No Existing Bldg. <br /> Update/New Fire Service Yes_ No_ Existing Bldg. <br /> Approved by: Date: <br /> '21'7 <br />