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FOR OFFICE USE ONLY <br /> 5160q-015� <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size /cS /6 __cc. Zoning Classification I2. 3L- <br /> Garage Size 6/_? - i Overlay/Agreement <br /> VALUATION 23s ?93 Nonresidential Use ���� <br /> Number of Stories L.7 Residential Use �l'll'-� <br /> Occupancy Group Ald Proposed No. of Dwelling Units: 1 <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: Y‘Rd� V <br /> Fire Sprinkler Required Yes X No_ Phone#: I-{Z�%Z51 7 Z1 c <br /> Reason Approved by: 1L V' Date: t Z.I 5--/40 <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes IC No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: I <br /> Deferred Submittal Req'd Yes No <br /> Approved by: de Date:6////‘ Calculated School Impact Fee: 11( 0.– <br /> Comments: 20/2. /'G i kus ec School Impact Fee Credit: <br /> Total School Impact Fee Owed: I Oet2- <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Intake Checked By: Date: <br /> Building Permit Intake Comments: <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes No <br /> Mechanical Fee PW REVIEW: PW Reviewer: ,<-'f' Date:/2 • /S"/6 <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee X 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 />