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RLD r vp c i,)h1/7- <br /> FOR OFFICE USE ONLY 4ERIVIIT# C"U0Op g9" <br /> • :•.s•,.1.... •.,..•.eft...•;.......+..-a• -'..sS'.-.s:: 1....f.-n.:•ti:*.'f .:h.•2'::Y-:i'•- - .'iv' ::tom j; ..Y. v _ <br /> t•: <br /> Bldg/TI/Addn/Rem Size /5+ 5!9 Zoning Classification <br /> Garage Size gq Sh, Overlay/Agreement <br /> VALUATION /qt /679 Nonresidential Use <br /> Number of Stories 3 Residential Use <br /> Occupancy Group /� /� Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No X 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 b : e' •6/6 ( (-7 <br /> Existing Fire Alarm Yes_, No_Unk Historic Approv 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 /> Deterred submittal Req'd Yes— No_ Calculated School Impact Fee: • <br /> Approved by: Date:4fZ%7- School Impact Fee Credit: <br /> Comments: Zo ow ws�� Total School Impact Fee Owed: <br /> Comments: <br /> • <br /> ..•.?-$0Ur 0-0_...:f�fa_...5 iy= : <br /> _i a:.- .. <br /> - i <br /> L"s :voai :akeSc `fy 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: AO Date: 6-2f-17 <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 -..._°:rt=-.., ._.r.._.-..-,.->r._._._l3..l3Eagta._..__.. ....igga...--:..--.... <br /> Traffic Mitigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg.__ <br /> Public Works Fee Update/New Detection YesNo 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 />