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F IT# DA) `1-00 1' 1)V <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Add er Size //Z0 SW Zoning Classification - L- <br /> Garage Size � - Overlay/Agreement <br /> VALUATION <br /> ,9 5 ZO Nonresidential en.tial Use <br /> No. of Stories 2. Residential Use �F <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 I.;section <br /> Type of Construction needed before ' al? Yes_ No <br /> Exstg Sprinkler System? Yes No—Unk Planni • nspector: <br /> Fire Sprink Reqd? Yes No_ ` one#: al J 2d U(p <br /> Reason Approved by: < ___5,2P Date: <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 Dist <br /> Enclosure (RCW64.55) Yes No_ #of Net New Units: <br /> Addntl Enc Doc's Rqd? Yes No <br /> Approved by: <br /> Date: L�c77/(� Calculated School I r..ct Fee: <br /> Comments: 20/2 //1C je W_C• C School Impac 'ee Credit: <br /> Total Sc .ol Impact Fee Owed: <br /> Co • ents: <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 /> 212 <br />