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r JUT# G I(002-DI`-1 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING j <br /> Id I/Addn/Rem Size �I `f `j Zoning Classification Z— t <br /> Garage Size 5 Z•a Overlay/Agreement <br /> VALUATION 275 7c,.77 Nonresidential Use <br /> No. of Stories Z Residential Use G F ( _ <br /> Occupancy Group k/UProposed No. of Dwelling Units: l <br /> Occupant Load Total No. of Dwelling Units: '�Z- <br /> Basernent Yes No,.Fin/Unf Landscape or Planning Inspection / <br /> Type of Construction .g needed before final? Yes No V <br /> Exstg Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes $, No Phone#: <br /> Reason {✓l e4 co t>L Approv {-N Date:2 2 Z l6 <br /> Exstg Fire Alarm? Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes_ No— School Mitigation Reqd? Yes Y 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: j Date: 31/!e�/(o Calculated School Impact Fee: l'i+ GI '- <br /> Comments: 2. a 1 2. h2C W S>EG School Impact Fee Credit: IJ C OG <br /> Total School Impact Fee Owed: • •4)� et- <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee (7/72.0'71 PW Permit Required? Yes , No <br /> Building Permit (a 7 .�Jjs Intake Checked By: A23 Date: 2-2 Z-/b <br /> Surcharge •q' Comments: of t/v f �'t/ , <br /> Additional Plan Check f `S(p <br /> Plumbing Fee i 50 .00 <br /> Mechanical Fee ( Zo'CV <br /> Ping Bldg Review Fee ( '7-''i' Fire Sprinkler Required by Fire Dept?Yes No <br /> Water Fee t a f (Fees: Yes/No, Explanation, Permit#`s,Amount) <br /> Sewer Fee •i0,0 Watereel, Sewer Fee? <br /> Systems Dev. Fee (9I p-OD t U tI ' 0O <br /> Traffic Mitigation Fee amo-70 -0(41 70 <br /> Public Works Fee (//�`OV System Dev. Fee? Traffic Mitigation Fee?e— <br /> School Mitigation Fee �,Cj D l� (0 „ n w/s.k .D <br />