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FOR OFFICE USE ONLY O'MIT# <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size / 8/� S,F Zoning Classification <br /> Garage Size /3 Overlay/Agreement <br /> VALUATIONNonresidential Use <br /> Number of Stories 3 Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No X Fin/Unf Landscape or Planning Inspection <br /> Type of Construction � needed before final? Yes/- No_ <br /> Existing Sprinkler System? Yes No Unk Planning Inspector:,S , ,—,- �GOIL:s Is'�� <br /> Fire Sprinkler Required Yes LC No Phone#: ZS— --5-7- 7/35 <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 2LMukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No <br /> Approved by: Date: 6 i (o Calculated School Impact Fee: <br /> Comments: Z D.Z 1,eC L' School Impact Fee Credit: /o ,52— <br /> Total <br /> S2— <br /> Total School Impact Fee Owed: j <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee S Intake Checked By: Date: <br /> Building Permit a Intake Comments: <br /> Surcharge <br /> Additional Plan Check r PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review Fee 177-2-2- SEE PW WORKSHEET-returned to file <br /> Water Fee 540-cc PW Permit Approved, PW Permit Not Required <br /> Sewer Fee 600 <br /> Systems Dev. Fee FIRE DEPARTMENT <br /> Traffic Mitigation Fee Fire Sprinkler Required? Yes No <br /> Public Works Fee jcr57 C6. Fire Alarm Required? Yes No <br /> School Mitigation Fee -Q ) APPROVAL TO ISSUE PERMITS: Yes No <br /> Fire Reviewer: Date Reviewed: <br /> Reviewed Under Permit Type/#: <br /> Comments: <br /> j2f,� <br />