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FOR OFFICE USE ONLY <br />BUILDING <br />Id I/Addn/Rem Size j 2 g ,S/�-�' <br />Garage Size 9�ocj <br />VALUATI ON <br />No. of Stories 2 <br />Occupancy Group (�( <br />Occupant Load <br />Basement Yes No Fin/Unf <br />Type of Construction <br />Exstg Sprinkler System7 Yes No _ Unk <br />Fire Sprink Reqd? Yes No <br />Reason <br />�;:3tO �c:�_ ni7�4;'�? v.. n�,. � i..�. <br />E1=ire Hlarm Keqd�! ! Yes rJo <br />Reason <br />Enclasure (RCW64.55) Yes _ No _ <br />Approved by: Date: D Z 1 S <br />Comments; 2� � 2 �,�L �� Gtf St�-� <br />FEES <br />Plan Check Fee � Z.�S�Q. �j <br />Building Permit �b2C ,� `� <br />Surcharge �jt� <br />Additional Plan Check ���, <br />Water �^ <br />Sewer ((�(�. L'(_.� <br />Systems Dev. Due? Yes No �/ <br />Systems Dev. Fees � <br />r��� `c�� L �_ Public Works � , �G <br />Traffic Mitlqation Due? Yes No ✓ <br />School Mitigation Fee I j-j� ?��, � <br />PLANNING <br />Zoning Classification �-� <br />Overlay/Agreemen# <br />Nonresidential Use <br />Residential Use J � � <br />Proposed No. of Dwelling Units: - � <br />Total No. of Dwelling Units: r <br />Landscape or Planning Inspectio <br />needed be�ore final? No_ <br />Planning Ins or: <br />P e #: <br />Approved by:��` '�; Date: ���, "I'� <br />��i:_ -�i,- --,r,- --"- - �`� <br />School fVl'ttigztion Regd? Yes j� h�o � <br />Everett 5chool Dist '�/ Mukilteo School Dist <br /># of Net New Unfts: � <br />Calculated School Impact Fee: �� .� ' <br />School Impact Fee Credit: � <br />Total 5chool Impact Fee Qwed: �-j �%S'�' <br />Comments: � . . <br />PUBLIC WORKS <br />Review Required? Yes No <br />Reviewer: Date: <br />Comments: <br />`�� � ��'� Q�'� i'y1, �,�' <br />, .-9 , <br />_ � ��,' r � 12-�� �i <br />. � <br />