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�v 1L.tIJc TypE f- UNIT rFOR OFFICE USE ONLY <br /> P # CI 004-0o 3 <br /> BUILDING ISO OIN1010 I <br /> • <br /> Bldg/TI/Addn/Rem Size 13 , Zoning Classification <br /> Garage Size 561 Overlay/Agreement <br /> VALUATION j92i (34.3 Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group 12/U Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No 0�,Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? YesNo— <br /> Existing Sprinkler System? Yes— No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No— Phone#: <br /> Reason Approved b : ate: S(28(/� <br /> Existing Fire Alarm Yes— No_Unk Historic Approv d by: Date: t <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 <br /> Approved by: Date:3/Z'//7. Calculated School Impact Fee: <br /> Comments: 2012. /EL . totsac School Impact Fee Credit: . <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES . - PUBLIC 1lVORKS. <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: �B Date: 9.-9,-,/7 . <br /> Ping Bldg Review Fee SEE PW WORKSHEET returned to file <br /> Water Fee )C 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 />