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f oi Lp/i..K.A Tyr- r I(OI'T o� OFFICE USE ON if o`1-®rt7 <br /> nnlT# (o <br /> i - BUILDING PLANNING j <br /> tc ••. i/Adds/Rem Size ( t F £I Zoning Classification <br /> Garage Size SOS S,r Overlay/Agreement <br /> VALUATION I'zl,l 12.9 Nonresidential Use <br /> Number of Stories .3 Residential Use <br /> Occupancy Group P.A. Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units:I <br /> Basement Yes No,JSFin/Unf Landscape or Planning Inspection <br /> Type of Construction s needed before final? Yes No <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No <br /> Phone#: <br /> Reason Approved b . Datei–_-i, (47(7 <br /> kExisting Fire Alarm Yes No UnHistoric Approved by: Date: <br /> Fire Alarm Required Yes No I I 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 <br /> Approved by: dffr Date: 1/191(7 Calculated School Impact Fee: <br /> Comments: 20!Z i 12-c- `t" x/( School impact Fee Credit: <br /> i Total School Impact Fee Owed: <br /> ' Comments: <br /> 1 I <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: ,8 Date: 8-22-/7 <br /> Ping Bldg Review Fee SEE PW WORKSHEET-returned to file <br /> Water Fee k 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 />