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$t) I I..0I iJ IY:1E UNIT rFOR OFFICE USE O LYRMIT# e,/ 1_, <br /> BUILDING TAN I d <br /> - - N I!I <br /> • <br /> Bidg/TW/Addn/Rem Size I j 61 Zoning Classification <br /> Garage Size 561 SA Overlay/Agreement <br /> VALUATION 152, 44343 Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group 12/U 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: <br /> Fire Sprinkler Required Yes— No_ Phone#: <br /> Reason Approved by: Date: 6, fi4p(i7 <br /> Existing Fire Alarm Yes No—Unk Historic Appro d by: 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 Reqd Yes No, <br /> Approved by: Date: ./2o/j . Calculated School Impact Fee: <br /> Comments: 2012 /Lc_ . ac School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> • FEES PUBLIC WORKS. <br /> Plan Check Fee Intake Checked By:-7.1e, Date: Z '�,f- "_ <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: 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 IJEPARTMENT <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 />