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C �r <br /> FOR OFFICE USE ONLY 4RMIT# (Le � 0 \ <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 0 13 Zoning Classification <br /> Garage Size 1-1 1 1 g Overlay/Agreement ;y <br /> VALUATION Id/62 l Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group ItZ 1 Rs Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No k_Fin/Unf Landscape or Planning Inspection <br /> Type of Construction Sa6 needed before final? Yes_ No— <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No._ Phone#: <br /> Reason Approved y: jiff '"Date: `� Pi, <br /> d <br /> Existing Fire Alarm Yes— No_Unk_ Historic Appr, ed b >. 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 /> Deferred Submittal Req'd Yes_ No J Calculated School Impact Fee: <br /> Approved by: 41 Date: 7/2///(o School Impact Fee Credit: <br /> Comments: Total School Impact Fee Owed: <br /> 21[5 H28 4 t® 1 e Comments: <br /> PUBLIC WORKS <br /> FEES Intake Checked By: K,$ Date: 5' 4a-/G <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 )X 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 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 />