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1121 LOMBARD AVE 2016-08-08
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1121 LOMBARD AVE 2016-08-08
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Last modified
8/8/2016 2:10:55 PM
Creation date
8/8/2016 2:10:52 PM
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Address Document
Street Name
LOMBARD AVE
Street Number
1121
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0 '1� <br /> PERMIT# t W W'3- a <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories 1�,I/'1 Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No_Fin/Unf_ Landscape or Planning Inspection <br /> Type of Construction — needed before final? Yes No <br /> Existing Sprinkler System?Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No ✓ Phone#: <br /> Reason Approved Date: ' �( <br /> Existing Fire Alarm Yes No Unk Historic ApprIE5d by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure La Re 'd Yes #of Net New Units: <br /> Deferred Subm tta q'd Yes No <br /> Approved;by: Date: 3 Calculated School Impact Fee: <br /> Comm rets: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By: Date: <br /> Surcharge Comments: <br /> Additional Plan Check <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes_No <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 /> �12 <br />
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