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FOR OFFICE USE ONLY <br /> RMIT# yo I�al1J '�� <br /> BUILDING "CANNING <br /> Bldi ddn/Rem Size t).(ol' Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION ! 35 K Nonresidential Use <br /> Number of Stories j / Residential Use <br /> Occupancy Group M /5-- o- Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes No_/ Fin/ f Landscape or Planning Inspection <br /> Type of Construction 'D ( l� Pj ) needed before final? Yes No <br /> Existing Sprinkler System? Yes I)0 No -Uifl1 Planning Inspector: <br /> Fire Sprinkler Required Yes )4 No Phone#: <br /> ReasonApproved by: Date: <br /> Existing Fire Alarm Yes $ No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes x► No School Mitigation Reqd? Yes No <br /> Reason f ' ptilt41(o$, Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes_ No?0 <br /> Approved by: 1"t Date: (4.110•110 Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> 0 K kut i i4Nce, ivn (ex cu) .1l \Gt \4 /\/lV X11auy <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Intake Checked By:,..) F 1- Date: S-- � i6 <br /> Building Permit Intake Comments: r('p fid (i,611 C% 21,t,6, <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No X <br /> Mechanical Fee PW REVIEW: PW Reviewer:--jit- Date: -�---,21(--/( <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 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 /> Zl v <br />