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011 I 111V1 <br /> 1T# e../W 0 -002- ' <br /> FOR OFFICE USE ONLY . <br /> ff } <br /> ...• , >_BLJILDIIl1G " • - .:.-Y, . _ PLANIltllliG`. . <br /> • Bldgffl/Addn/Rem Size I j Zoning Classification — <br /> -! Z <br /> Garage Size / 3 3 0 ,Overlay/Agreement <br /> VALUATION G' (D 1-S- ,Nonresidential Use <br /> l'No.of Stories ) Residential Use 6 r iiZ <br /> occupancy Group U Proposed No.of Dwelling Units: -- t�— <br /> Occupant Load Total No.of Dwelling Units: <br /> !Basement Yes_ No 'Fin/Unf Landscape or Planning Inspection \ <br /> Type of Construction v— 3 • needed before final? Yes No V <br /> Exstg Sprinkler System? Yes No v Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes No v - Phone II:• r I <br /> Reason Approved by(< I. Date: l 7-ri'I j <br /> Exstg Fire Alarm? Yes No `�Unk •• Historic Approved by: Date: ttt <br /> Fire Alarm Reqd? Yes No --- School Mitigation Reqd? Yes No_k/e--- <br /> • <br /> • Reason • Everett School Dist Mukilteo School Dist <br /> Enclosure (RC 4.55) Yes No It of Net New Units: <br /> Approved by: Date: C _ I._/ ( Calculated School Impact Fee: <br /> Comment School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> • Comments: ©:A-Qi y- Survca I(ect3 we4 0.4 Q, <br /> -Vim e oC- n n. ee -icvy -fa 1/e-ri <br /> 6le 6vto� of c-e 2s�, 201 i'0(0 2�01p 3 <br /> ID e( Okiet-cc 'O c ik'•. 20 lfvolo Z4-049/2 <br /> • <br /> FEES: • _ <br /> Plan Check Fee PW Permit Required? Yes X No <br /> Building Permit . Intake Checked By: /l 8 Date: 5- 4- /•fi <br /> Surcharge Comments: ifri4/ / <br /> Additional Plan Check - <br /> Plumbing Fee p fete Oh �r�Ana i�c>t/ <br /> Mechanical Fee ,Y,//� 0/0„,e Wi-14 A hi 0ce ice-/,/os, <br /> Ping Bldg Review Fee ///• 6/(7f!I �rn�2te ®13 3Ji P/b <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 />