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s <br /> 1 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size /007 SF Zoning Classification <br /> V ---- \ <br /> Garage <br /> Size /1 I --Cif Overlay/Agreement /�� <br /> VALUATION 'Z.?9, 9 Nonresidential Use <br /> No, of Stories • Z Residential Use S� <br /> Occupancy Group /2/u Proposed No. of Dwelling Units: Q( Q <br /> Occupant Load Total No. of Dwelling Units: Q\ <br /> Basement Yes_ No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No ' // ° `7At'5 <br /> 7/1 <br /> Exstg Sprinkler System? Yes_ •No Unk 'r 6(101;1 Planning Inspector: f <br /> Fire Sprink Reqd? Yes No_ Phone#: W <br /> Reason Approved by: Date: -4j. ,6- <br /> Exstg Fire Alarm? Yes_ No_Unk_ Historic Approve <br /> Fire Alarm Reqd? Yes_ No_ School Mitigation Reqd? Yes X No_ <br /> Reason Everett School Dist Mukilteo School Dist X <br /> Enclosure(RCW64.55) Yes No #of Net New Units: Q 4 Q. - <br /> Approved by:i Vf te: , b��/6— Calculated School Impact Fee: * �C,�V,In <br /> Comments: School Impact Fee Credit: ---- <br /> Zo/Z /,ec, 0 kir <br /> Total School Impact Fee Owed: `S,Y,,'--k. " <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Oflotel 43-1.Li+ Review Required? Yes No <br /> Building Permit (ii t44. 75 Reviewer: Date: <br /> Surcharge lb‘q) Comments: <br /> Additional Plan Check / _ r <br /> tck <br /> Water-��t�✓� j�"�`Q�i-� 2�% �'1h 9 ) PIA) <br /> iS O7-OW <br /> Sewer ' �LQ,�,/J `�00 <br /> Systems Dev. Due? Yes srs. No <br /> Systems Dev. Fees '1 1 V1.QD <br /> Public Works (pGot) <br /> Traffic Mitigation Due? Yes de.-- <br /> School <br /> 0✓School Mitigation Fee lag I it'OD <br /> L' <br />