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FOR D� <br />BUILDI�IG :: <br />Bldg/TI/Addn/Rem Size <br />Garage Size <br />VALUATIOfV <br />Number of Stories <br />Occupancy Group <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: M�'l, � Date: 7�ti( J� <br />Comments: <br />Uk. -��� ;,, � •c Ml� � (ti <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 />eFICE USE OI�IL� <br />Zonina Classification <br />PER(Vili # �� @ �l�i�[�� i���� <br />I L,4NNIN� <br />I `i� _1 � <br />Overlay/Agreement <br />Nonresidential Use '�Mc�ZC 1 <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 />� - � — <br />Planning Inspee�e�—� <br />Phone #: <br />Approved 14y: Date: � <br />� � <br />Hisforic Approved by: Date: � <br />School Mitigati n Reqd? Yes No =' <br />Everett SchoofDTst-- - ukilteo School Dist <br />�# of Net New Units: <br />Calculated School Impact Fee: <br />School Impact Fee Credit: <br />Total School Impact Fee Owed: <br />Comments� � <br />_ �2� �.� 3� - o�, , L <br />- PUBLIC WORKS <br />Intake Checked By: Date: � <br />Intake Co ments: �� {� �'jli�j���y�-, <br />� V ���,�..f'L�'� (/� � - <br />E <br />PW Permit Application Su mitted? Yes No <br />PW Worksheet Required? Yes No <br />PW REVIEW: PW Reviewer: Date: �7'��Q����-� <br />� 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 />L <br />� <br />