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*.- 0(1.10(s--0(k <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> /TI/Addn/Rem Size 2 q q 7 Z:c Zoning Classification 12- 1 <br /> Garage Size ff. Overlay/Agreement <br /> VALUATION 3q6, 161 Nonresidential Use <br /> No.of Stories Residential Use <br /> Occupancy Group iQ Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: 1 <br /> Basement Yes_ No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction 7ig needed before final? Yes No_ <br /> Exstg Sprinkler System? Yes No_Unk Planning Inspector: TS A \tJCl/S 3 <br /> Fire Sprink Reqd? Yes No_ Phone#: 42 j 225_ ry <br /> I – q: \ <br /> a <br /> Reason Approved : _..��-�W Date:qS 1 2 1 ) ZQ <br /> Exstg Fire Alarm? _ Historic Approved by:t /A- Date:o Yes No_Unk —.-_ <br /> Fire Alarm Reqd? Yes— No_ School Mitigation Reqd? Yes No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure(RCW64.55) Yes No_ #of Net New Units: ,4.. I <br /> Approved by: c, � Date:8/2.4111L Calculated School Impact Fee4/ q g g - <br /> Comments: Zo 12 i gC * wsge. School Impact Fee Credit: NONC <br /> Total School Impact Fee Owed+4 1`Ig <br /> Comments: <br /> VC(A Vs C tib' •f <br /> 0 <br /> � V���o( <br /> • <br /> FEES PUBLIC WORKS <br /> Plan Ch-. Fee Review Required? Yes JC/_No <br /> Building Per ''t ,/ Reviewer: „/K Date: (/.j(7 2% <br /> Surcharge Comments:AE4 dk 7/0 M�, , <br /> Additional Plan Che Ssllornit Mwre-'0` Cie/ 460k <br /> Waterhl la EenAI1- Sen al <br /> Sewer <br /> � �Ate_ ./ <br /> ie ct�hQc � /` i <br /> £ eurr <br /> ti , Ra, <br /> Systems Dev.D -? Yes No El G � Offc(I ct *6 ar,8�'' e <br /> Systems Dev. 'ees I , ctlhy8 iv be svbm, <br /> Public Wo�: „3K¢., t4. <br /> 1 . m.eb T15/I6' <br /> Traffic Mitigation Due? Yes N3� / <br /> School Mitigation Fee _ c if i t og 013 <br /> Aperwa oy, Vs/« 4 <br />