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4114# e2[(a0 -IA_ <br /> FOR OFFICE USE ONLY <br /> r 1+-1 RAJ 4 efte/i4a <br /> TA- <br /> OW <br /> • - BUILDING 0 PLANNING ``'' <br /> Bldt9/TI/Addn/Rem Size ('l} Zoning Classification M-5 <br /> Garage SizeOverlay/Agreement <br /> VALUATION 12000 Nonresidential Use k' <br /> No, of Stories Residential Use <br /> OccupancyGrpup e(,T(, ,Prcposed No.of pwelling �rnts <br /> Occupant Load a G,.,. Total No.of Dwelling Units: , <br /> Basement Yes_,,, No inlVnf Landscape or Planning Inspection <br /> Type of Construction Vr needed before final? Yes No,_,} <br /> Exstg Sprinkler System? Yes— No vUnk_ Planning Inspector: <br /> Fire Sprink Reqd? Yes_. No V Phone#: <br /> Reason Approved by---- ;:) pate: (-If' 2C^ t L <br /> Exstg Fire Alarm? Yes_ No Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes No c_.' School Mitigation Reqd? Yes_ Nom <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure(ROA/ ,.55) Yes_ No '� #of Net New Units: <br /> Addntl Enc Doc': Rqd? Yes ,No (4 <br /> r ._ <br /> Approved by: / Date: '3 'y - J1(: Calculated School Impact Fee: <br /> Comment School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: (le 44 r`"L. 4 c.,r I PI 'S'Ait A it.eAce_ <br /> FEES PUBLIC WOR 9 <br /> Plan Check Fee PW Permit Required? Yes J No <br /> Building Permit Intake Checked By: 1- Date: 41-49—zed' <br /> Sue Comments: SES 160 3-00s. <br /> Additional Plan Check <br /> Plumbing Fee /Id W ' eCe.7- <br /> Mechanical Fee / <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes ,Not"' <br /> Water Fee (Fees:Yes/No,Explanation, Permit#'s,Amoun9 <br /> , <br /> Sewer Fee Water Fee? Sewer Fee? <br /> Systems Dev. Fee N//4" Nth <br /> Traffic Mitigation Fee <br /> Public Works Fee SystemDev. Fee? Traffic M .- lo 'e, <br /> School Mitigation l=ee ✓vh N f <br /> r <br /> Lam" 7- <br />