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FU1LPj is 7- f VIII i7 ig Lbs ? C ! O q- 6 l <br /> �4® OFFICE USE ONLY <br /> BUILDING • <br /> L RMIT#AMINO <br /> - <br /> •+ I/Addn/Rem Size I l rp F . F Zoning Classification <br /> Garage Size SOS . ,, Overlay/Agreement <br /> VALUATION I�"j 'I 1 19 Nonresidential Use <br /> Number of Stories 3 Residential Use <br /> Occupancy Group RA Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units:I <br /> Basement Yes— No,X Fin/Unf Landscape or Planning Inspection <br /> Type of Construction r3TS 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 /G /` <br /> Existing Fire Alarm Yes No Unk ,Historic Approv 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 Req'd Yes No <br /> Approved by: thfr Date:6/244 Calculated School Impact Fee: <br /> Comments: 2.0 t Z j TLrifiieggc, School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> I <br /> FEES PUBLIC WORKS • <br /> Plan Check Fee - Intake Checked By: _ Date: 6/77 "7-- <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 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 /> 7 9/k, s <br />