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+ � �� � <br /> ��� o��r������s��� ���nnrr� ���(�l 0 I � <br /> ,_ ,_ , <br /> � _. �����i�� �- ° - — - - <br /> ; �t.:���a�r�. _.. �....: ;: , <br /> BldgtTl/Addn/Rem Size �.Q Zoning Classification <br /> Garage Size Overfay/Agreement <br /> V.4LUATIORI Nonresidential Use <br /> Number of Stories 2 Residentia(Use <br /> Occupancy Group � { �-- Proposed No. of Dwetling Units: <br /> O�cupant Load N� Total No.of Dwelling Unifs: <br /> Basement Yes No in/Unf Landscape or Planning Inspecfion <br /> Type of Consfruction — needed before fina(? Yes_ No_ <br /> Existing 5prinkler System? Yes `� No_Unk Planning Inspector: <br /> Fire Sprinkier Required Yes�. No_ Phone#: <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�ist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submit 1 q'd Yes No_ Calculated School Impact Fee: � <br /> Approved by: Dafe: ,�G- (, School fmpact Fee Credit: <br /> Comme . Total School Impact Fee Owed: <br /> Comments: - <br /> ����, ,�'�',�(�� 'd�C' ��'��C� �`�' �,'� `�� �V' <br /> : �'llB1.jClN�:?RK5 = � _ <br /> ����` - _ - Intake Checked By: Date: <br /> Plan Check Fee Intake Commenfs: <br /> Building Permit � � � ` " <br /> G� � � i� i�-�V���� - �1Gfi � �� �,� -� <br /> Surcharge � ��� <br /> ---...----------------....-- ------------ ------ � <br /> Additional Plan Check - - P1N Permit XCppli"cation Submit�ed?-Yes-- ---No--- --- <br /> Piumbing Fee PW Worksheef Required? ' Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: Date: <br /> Ping Bldg Review F'ee SEE PW WORKSHEET-returned to file <br /> Water Fee - PW ParmitApproved, PW Permit Not Required <br /> SewerFee " <br /> 5ystems Dev. Fee _ -= FIRE DEPARTIViENT _ - <br /> Traffic Mitigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg._ <br /> Public Works Fee Updafel New Detection Yes_ No_ Existing Bldg._ <br /> School Mitigation Fee Update/Nev�Chemical Yes_ No_ Existing Bldg._ <br /> Update/New Fire Setvice Yes_ No_ Existing Bldg._ <br /> Approved b : Date: <br /> Commenfs: <br /> Z J� <br /> � <br />