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FOR OFFICE USE ONLY FiIkMIT# (.I(9 Oho-40411 <br /> Bldg/TI/Addn/Rem Size it/3g str, Zoning Classification —721 <br /> Garage Size 38g- Overlay/Agreement <br /> VALUATION i o/, 4930 Nonresidential Use <br /> Number of Stories Residential Use SQ. <br /> Occupancy Group ro[ Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Unit <br /> Basement Yes_ No.gFin/Unf Landscape or Plan g I spection <br /> Type of Construction needed before fl .I? Yes X No <br /> Existing Sprinkler System? Yes_ No_Unk_ Planning Inspe,'tor: 1 . 5T- I� t C <br /> Fire Sprinkler Required Yes_ No_ Phone#: u .2.C7.'7 .1 <br /> Reason Approved by: 11,1-Nei• Date: 5-,q-((o <br /> Existing Fire Alarm Yes_ No_Unk.. Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes '74. No <br /> Reason Everett School Dist X Mukilteo School Dist <br /> Enclosure Law Applies Yes_ #of Net New Units: 1 (1 <br /> Deferred Submittal Req'd Yes_ No_ Calculated School Impact Fee: JC' X107 3Z) <br /> Approved by: Date9/w/jb School Impact Fee Credit: / <br /> Comments: Z-10d2- 6 Total School Impact Fee Owed: <br /> Comments: <br /> P1B1C W©RKS, <br /> Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit <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: . ,f3 Date: iv-0Z7 46 <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 _FIRI D�PARItI€NT <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 />