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FOR OFF-ICE USE ONLY <br /> Bldg/T1/Addn/Rem Size 7 0()0 Zoning Classification <br /> Garage Size OverlaylAgreement <br /> Ejj e.�-4- <br /> VALUATION Nonresidential Use <br /> Number of Stories 2 Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: '— <br /> Basement Yes_ No_L- Fin/Unf Landscape or Planning Inspection / <br /> Type of Construction — l needed before final? Yes— No <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: �� d <br /> Reason Approved Date: <br /> Existing Fire Alarm Yes_✓ No—Unk Historic Anr)rDved by: Date: <br /> Fire Alarm Required Yes ✓ No— School Mitigation Reqd? Yes_ o_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law App les Yes #of Net New Unit <br /> Deferred Submittal e 'd Yes✓ No Calculated Scho <br /> Approved by: Date: -51 -1 f; School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> Comments: NQ tx-teo r- S/f Ci W®✓� /5 <br /> fermi#Cd uncle` -ft-Us rmit Tee <br /> pubLiG l�U►�l�s I�erm� W I P 07-015 <br /> _ Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit /� <br /> Surcharge {Yd 'i rJri ( mLa " � J A6� <br /> uu J <br /> Additional Plan Check - – P1N Permit Application Submitted?-Yes ---No_-x—_ <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer.3Date: //- 8'16 <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 _-_ _ F1RE pEPARTMEI�LT _ixxii�sst Traffic Mitigation Fee Update/New Sprinklers Yes— No ting Bldg._Public Works Fee Update/New Detection Yes No ing 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 /> Comments: <br />