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MIMIT# (la o. f <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING_ <br /> tin <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION (p 900 Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group 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 P needed before final? Yes_ No <br /> Existing Sprinkler System? Yes_ No Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason Approved y: C-Ir lV Date: /10 <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: a----- 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_ <br /> Approved by: <VIAL— Date:5120 D Calculated School Impact Fee: <br /> Comments: Z,®l2 !R C School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Intake Checked By:,A t-4- Date: 11—c25—20/6 <br /> Building Permit Intake Comments: <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes No <br /> Plumbing Fee PW Worksheet Required? Yes X No <br /> Mechanical Fee PW REVIEW: PW Reviewer`, Date: 4-a 3-'�.0t6 <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 Fire Sprinkler Required? Yes No <br /> Public Works Fee Fire Alarm Required? Yes No <br /> School Mitigation Fee APPROVAL TO ISSUE PERMITS: Yes No <br /> SEE FIRE WORKSHEET-returned to file <br /> Fire Reviewer: Date Reviewed: <br /> Reviewed Under Permit Type/#: <br /> Z�Z <br />