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VA 5 FOR OFFICE USE ONLY bLRMIT# C l'lo3ak <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 22, th Zoning Classification <br /> Garage Size 421 I Overlay/Agreement <br /> VALUATION 25D 191,E Nonresidential Use <br /> Number of Stories 'a 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: <br /> Fire Sprinkler Required Yes_ No._ Phone#: <br /> Reason Approved by: e: ill (1 <br /> Existing Fire Alarm Yes— No_Unk_ Historic Approved Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No /— <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes_ #of Net New Units: <br /> Deferred Submittal Req'd Yes_ No_ Calculated School Impact Fee: <br /> Approved by: 474 Date:4/.7/// School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> V)15-- 1 VG 4-WS Comments: <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit ' Vv I^ , \'l Ot'\�( <br /> Surcharge J <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: Date: <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 />