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vN ‘3— <br /> FOR OFFICE USE ONLY 4EIMiT# �jl�O6 T'07�f <br /> Bldg/TI/Addn/Rem Size /5-y� .5.� Zoning Classification <br /> Garage Size 3 t 3' Overlay/Agreement <br /> VALUATION I gz/i emq Nonresidential Use <br /> Number of Stories .3 Residential Use <br /> Occupancy Group IZAU 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 needed before final? Yes No <br /> Existing Sprinkler System? Yes— No Unk Planning Inspector:.,LA i yvlfirscr1' <br /> Fire Sprinkler Required Yes No_ Phone#: ZSR 'Z °7 v 73 `1 <br /> Reason Approved ..-: _ <br /> Existing Fire Alarm Yes No_Unk Historic Appro,ed 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 Re 'd Yes_ No_ Calculated School Impact Fee: • <br /> Approved by: Date:34//7 School Impact Fee Credit: <br /> Comments: 20/z_ /,eG c.ctG Total School Impact Fee Owed: <br /> Comments: <br /> • <br /> e,•�t;:: a;:'f.'�SL::".z:'.�ayws :i•:'{•.+'. _ g:. _+. - - - _ . �}j:Li+: ... .: <br /> *y:�'t�i�1�.C�i11'�1R`�:(�._:t•,.`f':. _. .�-uf:�.- �i�r=:���"`s'x=.-.= <br /> a%:': ': :ism:, .,.x, t;k_f� sr:= S,Y.r;Y::i;'.5r: .•:�a;:si ; <br /> ,L.,�.:_. ..s'. il ;:.r :.: .A�'_ fi:,�°` _>..'.�; '.`,:ala?=�'...._ Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check PW Mitil Applicafiori-Submitted?""Yes------- _.. <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 2_' • ? ._ _ F`t33€DEP4M1=_IVT._ .,,_.. s.._: : ...:... <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 /> • <br />