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PIi T# 'Le 02f cxD <br /> FOR OFFICE USE ONLY <br /> BUILDING • :." .:.: : PLANNING,' <br /> Bldg/TI/Add irdp Size gCO 3e4 Zoning Classification ' .L <br /> Garage Size Overlay/Agreement <br /> VALUATION 27 ZOO Nonresidential Use <br /> No.of Stories I Residential Use r2 <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes No X.Fin/Unf Landscape or Planning Inspectio <br /> Type of Construction needed before final? No <br /> Exstg Sprinkler System? Yes No Unk Planning Inspec <br /> Fire Sprink Reqd? Yes_ No Phone#: <br /> Reason Approved by:(-5 - 7 Date: 51 S/I(Q <br /> Exstg Fire Alarm? Yes_ No . Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes No School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School D- <br /> Enclosure (RCW64.55) Yes No— #of Net New Units: <br /> Approved by: Date: g/S//(b Calculated School Impact Fe . <br /> Comments: 2,01 Z /4C_ pl../SC School Impact Fee Cr <br /> Total School Im t Fee Owed: <br /> Comments• <br /> lLP —QAi <br /> ettl itikhe , ('arm y'' rt Le (AC <br /> FEES: . PUBLI_C.WORKS <br /> Plan Check Fee PW Permit Required? Yes No X 10(t t <br /> J <br /> V <br /> Building Permit . Intake Checked By: T5 Date: 5 (-/6 o � <br /> Surcharge Comments: W'• <br /> Additional Plan Check <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bldg Review Fee <br /> Water Fee (Fees: Yes/No,Explanation,Permit#'s,Amount) <br /> Sewer Fee Water Fee? Sewer Fee? <br /> Systems Dev. Fee <br /> Traffic Mitigation Fee <br /> Public Works Fee System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee <br /> Z/2 <br />