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-RMIT# W 1(0°4-00 -' <br /> FOR OFFICE USE ONLY <br /> BUILDING; PLANNING:, <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 2500 Nonresidential Use <br /> Number of Stories / Residential Use <br /> Occupancy Group 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 Y-17 needed before final? Yes_ No_ <br /> Existing Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> i <br /> Reason Approv-d b . late: <br /> Existing Fire Alarm Yes No Unk_ Historic .proved by: Date: <br /> Fire Alarm Required Yes_ No_ School itigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes #of Net New Units: <br /> Deferred Submittal Re 'd Yes No_ <br /> Approved by: Date: 572a'// Calculated School Impact Fee: <br /> Comments: Z. /, C /NSC School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC.WORKS <br /> Plan Check Fee Intake Checked By: Date: <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 Fire Sprinkler Required? Yes No <br /> Public Works Fee Fire Alarm Required? Yes No <br /> School Mitigation Fee APPROVAL TO ISSUE PERMITS: Yes No <br /> SEE FIRE WORKSHEET-returned to file <br /> Fire Reviewer: Date Reviewed: <br /> Reviewed Under Permit Type/#: <br />