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FOR OFFICE USE ONLY HERMIT# WLY —01 <br /> F. <br /> h: <br /> ���..jj99�// X13' - :. <br /> `..ice' .DIu• I� ;'4'.' - <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size 52 0 4 Overlay/Agreement <br /> VALUATION '2.3, 1/4,9 Nonresidential Use <br /> Number of Stories • I Residential Use S D\ <br /> Occupancy Group (I Proposed No.of Dwelling Units: <br /> Occupant Load • Total No.of Dwelling Units: - <br /> Basement Yes_ No Fin/Unf Landscape or Planning Insp '6n <br /> Type of Construction *1. needed before final? Yes No <br /> Existing Sprinkler System? Yes_ No_Unk Planning 1 ctor: <br /> Fire Sprinkler Required Yes— No Phone#: <br /> Reason Approved by: (��(:: Date: q• V) 1 i 69 <br /> Existing Fire Alarm Yes— No Unk Historic Approved 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_ Calculated School Impact Fee: • <br /> Approved by: JP' Date:10AIfs School Impact Fee Cre•': <br /> Comments: jets- pec Total School Impact Fee Owed: <br /> Comments: - <br /> - FLO -.1. <br /> kftixi �_z ` ir: _-: + <br /> Mc . e : n3SYaS : ." trIntake Checked By: Date: 9-/3 <br /> 701 ' <br /> Plan Check Fee Intake Comments:f aitf iv se-rd `9a6414- S'Arfiw � <br /> r " Et/ keeEiveD <br /> Building Permit <br /> Surcharge Ma&PIP p ►tf(dupllrt, n Bldg) <br /> Additional Plan Check+^ — '- _ PW Permif"Appliceti'otFSubmitted?`Yes -- <br /> Plumbing Fee _ PW Worksheet Required? ' ' Yes )< No <br /> Mechanical Fee PW REVIEW: PW Reviewer:_k ' Date: /©--s ZO <br /> Ping Bldg Review Fee dill SEE PW WORKSHEET-returned to file <br /> Water Fee - x PW Permit Approved, PW Permit Not Required <br /> Sewer Fee PI/J/00—00'4- -- (t mA M Bidj foldf/t <br /> : :a = `[' <br /> Systems Dev. Fee .-�,._ _ :-�: •.:�._-_-.:... ._�_--._�.__--,...,._.1_ .-,� <br /> --_��_--..,.: .z.ter_...,.. <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 />