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FOR OFFICE USE ONLY <br /> BUILDING <br /> L PLANNING <br /> Bid Q/TI/ ddn/Rem Size 30160 S j Zoning Classification " <br /> Garage Size Overlay/Agreement <br /> VALUATION ON 7 Nonresidential Use <br /> Number of Stories Residential Use ---- <br /> Occupancy Group 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 I s� needed before final? Yes_ No <br /> Existing Sprinkler System? Yes x No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: ---- — <br /> Reason N o r4eW Approved b Date: <br /> Existing Fire Alarm Yes X No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No <br /> Reason I-,X I S� (� Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes_ No_ <br /> Approved by: rne6 �MDate: Calculated School Impact Fee: <br /> Comments: �p�,(};a1�t� Sp(i�n��Q(r — School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> M' Comments: CV I-n <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Intake Checked By:. . �—' ± Date: 41a <br /> Building Permit Intake Comments: A/p /mow aw?w'lt� —No <br /> � S / �l/ <br /> Surcharge r <br /> Additional Plan Check PW Permit Application Submitted? Yes No 1� <br /> Plumbing Fee PW Worksheet Required? Yes No X <br /> Mechanical Fee PW,REVIEW: PW Reviewer: e Date: <br /> Ping Bldg Review Fee & 4SEE 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 /> Comments: <br />