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+OR OFFICE USE ONLY IJI I IT# <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification /L 2- <br /> Garage Size • , 7Z I3 -C,K Overlay/Agreement <br /> VALUATION 3Z 76e Nonresidential Use ....--_-- <br /> Number of Stories / Residential Use <br /> Occupancy Group 1 Proposed No. of Dwelling Units: A J D Ji.1 E <br /> Occupant Load Total No.of Dwelling Units: S P/2--- <br /> Basement Yes_ NobX Fin/Unf Landscape or Planning Inspection / <br /> Type of Construction needed before final? Yes_ No V <br /> Existing Sprinkler System? Yes_ No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes— No_ Phone#: <br /> Reason Approved by Date: I Z J3 Ir <br /> Existing Fire Alarm Yes_ No_Unk Historic Approved by: ''-----'-"'Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No '- <br /> Reason <br /> 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: Date:117//40' School Impact Fee Credit <br /> Comments: V� Total School Impact Fee Owed: <br /> 2�JS- lr�c ,_ <br /> Comments: 4- tOrnp1 Gv/ r— <br /> overr hi/V(4- u(y'b J2 Co- <br /> 7fftOch -A) I3R <br /> 4 <br /> PUBLIC WORK <br /> FEES Intake Checked By: ; - Date: /' -/3 --za <br /> Plan Check Fee Intake_ Comments:Adel 10 L/dQ >„-n/I� <br /> Building Permit -/ 7C'_.1 ciat l oSz v .s jzz/!t ` atoZ 1' <br /> Surcharge "ZR gSF „4 ou%fr fp PtV rc au is /e6tte-{,(.°, <br /> Additional Plan Check PW Permit Application Submitted? Yes No .e)C. <br /> Plumbing Fee PW Worksheet Required? Yes x No <br /> Mechanical Fee PW REVIEW: PW Reviewer: .d g- Date: / -i6-21.79/4C-/6-2 <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file AO <br /> Water Fee X PW Permit Approved, PW Permit Not Required <br /> Sewer Fee L P JI - O3O <br /> Systems Dev. Fee FIRE DEPARTMENT <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 />