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FOR OFFICE USE ONLY OMIT# to 05 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size &s it 7 / Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 31 -163 '� U Nonresidential Use <br /> Number of Stories 1 Residential Use <br /> Occupancy Group S - t Proposed No. of Dwelling Units: <br /> Occupant Load t' 13J Total No. of Dwelling Units: <br /> Basement Yes_ No(LFin/Unf Landscape or Planning Inspection <br /> Type of Construction (� needed before final? Yes No_ <br /> Existing Sprinkler System? Yes_ No U Unk Planning Inspector: jAlti r)I ill 4/5-o-7\ <br /> Fire Sprinkler Required Yes V No_ Phone#: <br /> ��� � 2 Z_r78' 37 <br /> Reason C O 17 CPw�wC Approve. i ' late: /0/('-, <br /> Existing Fire Alarm Yes_ No V Unk Historic Appr., ed by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes No_ <br /> Reason C 0 PC Everett School Dist Mukilteo School Dist <br /> Enclosure Law Applies Yes_ #of Net New Units: <br /> Deferred Submittal eq'd Yes i No <br /> Approved by: 991 Date: 7 -8-J1.0 Calculated School Impact Fee: <br /> Comments: 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: 5 g t4, . ri PW Pev ` <br /> Surcharge <br /> Additional Plan Check PW Permit Application Submitted? Yes *K. No <br /> Plumbing Fee PW Worksheet Required? n Yes )( No <br /> Mechanical Fee PW REVIEW: PW Reviewer: 4"Date: <br /> Ping Bldg Review Fee ><-SEE PW WORKSHEET-returned to file-3em alad . <br /> Water Fee )( PW Permit Approved, PW Permit Not Required <br /> Sewer Fee pG(l6OS-O/3 <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 />