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r <br /> PLRIVI IT# (-(L'6(-1) ®'L <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/Tl/Addn/Rem Size 19f3 3 sf Zoning Classification cZ,.- \ <br /> Garage Size ! 7 3 SOverlay/Agreement / <br /> / <br /> VALUATION 252, O2 Nonresidential Use <br /> S <br /> No. of Stories / Residential Use 'F‘Z <br /> Occupancy Group r`/Li Proposed No. of Dwelling Units: 0\A-Q_ - <br /> Occupant Load Total No. of Dwelling Units: C <br /> Basement Yes_ No /Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes ]‘ No_ <br /> Exstg Sprinkler System? Yes No Unk Planning Inspector: co e. 03 AC: A <br /> Fire Sprink Reqd? Yes No)( Phone#: L-{2, ,�• C' 0 v <br /> Reason Approved by: Date: V I /11i <br /> Exstg Fire Alarm? Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes No_ School Mitigation Reqd? Yes X No__ <br /> Reason Everett School Dist ►\ Mukilteo School Dist <br /> Enclosure(RCW64.55) Yes No_ #of Net New Units: GV\R_ - .. <br /> Approved by: Date: V/7j/60 Calculated School Impact Fee: 451 ,CAW <br /> Comments: 2d/z /ic 0 ajS?C School Impact Fee Credit: IIIN � 6lZ <br /> Total School Impact Fee Owed: 'V TV,Qd iS(iq <br /> 0(10 <br /> Comments: �Vs6 , \©.4\c� ��c�n <br /> e \ S ,. t <br /> � qt <br /> EC Dkc— \g, ZY,CY0 Q42.co(A\cea <br /> \elva. C.OeN1 k(* <br /> c y • CSed \ \Ord \Q SQ t,!,� <br /> \,osz s ms oc a,w \ck\ s\Aku -\..Q.W A, <br /> FEES PUBLIC WORKS <br /> Plan Check Fee 4/ C7 iY,1- Zif.. PW Permit Required? Yes_ No <br /> Building Permit I'S GG) Intake Checked By: Date: <br /> Surcharge 4--GjC Comments: <br /> Additional Plan Check /• I1 (�� � 7 <br /> Plumbing Fee %�l).Cr r kt) ( coo v-0 13 <br /> Mechanical Fee CG.CC) <br /> Ping Bldg Review Fee / 8 43-OPS' Fire Sprinkler Required by Fire Dept?Yes_No X <br /> Water Fee il 0( 00 (Fees: Yes/No, Explanation, Permit#'s,Amount) <br /> Sewer Fee .-70 <br /> -CC Water Fee? Sewer Fee? <br /> Systems Dev. Fee 7,.7!oa•06 L[c/O x73 ---7i) () <br /> Traffic Mitigation Fee ( 1. L (J <br /> Public Works Fee (p 00 System Dev. Fee? Traffic Mitigation Fee? A/L1 <br /> School Mitigation Fee <br /> 73y <br /> ull y� IVB' <br /> 2-(z <br />