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FOR OFFICE USE ONLY !!RMIT# 0 \1°5✓0 I b <br /> BUILDINGnn PLANNING <br /> Bldg/TI/Addn/Rem Size 'L? 5 ? 43 Zoning Classification <br /> Garage SizeLI CI\ Overlay/Agreement <br /> M <br /> VALUATION h�, ) 1 40Li Nonresidential Use <br /> Number of Stories 2 Residential Use <br /> Occupancy Group R-I IA- 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 6 needed before final? Yes_, No— <br /> Existing Sprinkler System? Yes_ No—Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No._ Phone#: <br /> Reason Approved . : , . Date: `.-,1730//7 <br /> Existing Fire Alarm Yes_ No_Unk Historic Apprs ied b . 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 1 Yes_ No_ Calculated School Impact Fee: <br /> Approved by: Date:S-4767 School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> SOI6. la 4 VV 6-Fie} Comments: <br /> PUBLIC WORKS <br /> FEES Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit <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: AV Date: a O?/7 <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 /> I <br /> Update/New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br /> Q <br />