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g -Q v7V/T ®� OFFICE USE ONLYMIT# G Ice 3-0 3 <br /> • (BUILDING PLANNING <br /> BldfTl/Addn/Rem Size /33J s, Zoning Classification <br /> Garage Size 5-6 2- , ,4 Overlay/Agreement <br /> VALUATION /ez, 013 Nonresidential Use <br /> Number of Stories .� Residential Use <br /> Occupancy Group g/W 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 TL No <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspector:Jyt V I el\ <br /> Fire Sprinkler Required Yes No_ Phone#: C)'-.1 573 1 <br /> Reason Approved • Date: 3 (4567 <br /> Existing Fire Alarm Yes No Unk Historic Apprr.ved : 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: c/!/ Date:36117 Calculated School Impact Fee: <br /> Comments:Zo/Z � LC /44 C. School Impact Fee Credit: <br /> Total School Impact Fee Owed: <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: m Date: 3 23'/ 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 /> Update/New Fire Service Yes— No_ Existing Bldg. <br /> Approved by: Date: <br /> Comments: <br />