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FOR OFFICE USE ONLY <br /> RMIT# x31(00 '.6 ( S <br /> ,, 'BUILDING,. � .,> _r : :PLANNIING` . _r <br /> Bldg/TI/Addn/Rem Size I t 9 Co(. Zoning Classification R - I <br /> Garage Size Overlay/Agreement flP <br /> VALUATION (01 ) 20 Nonresidential Use <br /> Number of Stories � Residential Use J�e <br /> Occupancy Group k / 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 `/ - a needed before final? Yes V No <br /> Existing Sprinkler System? Yes_ No✓Unk_ Planning Inspector:T t2 el VV et.Do i...) <br /> Fire Sprinkler Required Yes No ✓ Phone#: 4 qs-'`ZS--4 - c-i 3( <br /> Reason Approved -ci.f L4/ Date: S \ 1 11.1, <br /> Existing Fire Alarm Yes No v Unk Historic Approved by: Date:—^ <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes No V <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law A lies Yes #of Net New Units: <br /> Deferred Submi d Yes No <br /> Approved by: / Date: (a - / 0_ ((, Calculated School Impact Fee: <br /> Comments School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: C,p ?\t tQ i V l � <br /> I <br /> CO V1ctAtiO l N 0,-vi ain�der.Osior <br /> \I Al2-1 LP --0 OL0. <br /> FEES ° P--,UBL(C`WORI''S <br /> Plan Check Fee ✓ Intake Checked By: Date: <br /> Building Permit Intake Comments: <br /> Surcharge alb !ltu) ft'h1fr mutat. per *ii1 v--C. <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. „ ,, FIREEDEPARTMENT , <br /> Traffic Mitigation Fee v Fire Sprinkler Required? Yes No <br /> Public Works Fee Fire Alarm Required? Yes No __ <br /> School Mitigation Fee's APPROVAL TO ISSU,PERMITS: Yes No <br /> Fire Reviewer: _11. Date Reviewed: L. 23-)4d <br /> Reviewed Und-r '-rmit Type/#: <br /> Comments: <br />