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1(..d.-kp A ' FO/! •FF!CE USE 0 LY -KNIT# 8k q °1-1-)11 . <br /> t I <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size .2(0 Overlay/Agreement <br /> r <br /> VALUATION L\0 Nonresidential Use <br /> Number of Stories 62.-.. Residential Use <br /> Occupancy Group v.. I (,fl, Proposed No.of Dwelling Units: <br /> Occupant Load 'Total No.of Dwelling Units: • <br /> Basement Yes_ No 1,Fin/Unf Landscape or Planning Inspection <br /> Type of Construction 346 needed before final? Yes— No_ <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No._ Phone#: <br /> Reason Approved‘13,y• Date: y�f I�� <br /> Existing Fire Alarm Yes_ No_Unk Historic Approv:. by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes No_ <br /> Reason Everett School Dist Mukilteo School Dist a <br /> Enclosure Law Applies Yes— #of Net New Units: <br /> Deferred Submittal Req'd Yes— No - Calculated School Impact Fee: <br /> Approved by: Date^2.11 Ll/ School Impact Fee Credit: <br /> Comments: (( Total School Impact Fee Owed: <br /> W 15 l r.c +,vget Comments: <br /> • <br /> PUBLIC WORKS - <br /> FEES - Intake Checked By: Date: <br /> Plan Check Fee Intake Comments: <br /> Building Permit PU1802-OZ't <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 s Date: -0.4,g <br /> Ping Bldg Review Fee ›'c'SEE PW WORKSHEET-returned to file ` <br /> Water Fee X PW Permit Approved, PW Permit Not Required . <br /> Sewer Fee <br /> Systems Dev. Fee : FIRE DEFARTMENT _ <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 /> 4 <br />