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CI 5 G ---OGI <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 5//3 ,S( Zoning Classification K-2_ <br /> Garage Size - © ' Overlay/Agreement <br /> VALUATION 571 1/13 Nonresidential Use <br /> No. of Stories 2 Residential Use 5t-R2 i/fl�l TTG tlecI AD J <br /> Occupancy Group 4 Proposed No. of Dwelling Units: 1 AD <br /> Occupant Load Total No. of Dwelling Units: is r? 4, I l cOu <br /> Basement Yes_ No, Fin/Unf Landscape or Planning Inspection / <br /> Type of Construction IB needed before final? Yes Nod/ <br /> Exstg Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes No_ Phone#: / <br /> Reason Appro ed b : Date:q'(�I i <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 /> Approved by: fr Date: 9/1/AS— Calculated School Impact Fee: <br /> Comments: 20/2. //2C .Q` w SEC School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: —- . <br /> ON CVA A 0+. A- <br /> \ 091410- o3 <br /> FEES PUBLIC WORKS / <br /> Plan Check Fee -g* Review Required? Yes No . <br /> Building Permit (oqq-75. Reviewer: See- Date: Eit -1-ads <br /> Surcharge 14--S-0 Comments: <br /> Additional Plan Check �— ^ /D fitreSE-ei <br /> Water .Q4(54"//vt j Jt2 1-rE/›. /lam <br /> Sewer 2-ft s1i 15 tKj P I;'c fin1 <br /> Systems Dev. Due? Yes ✓ No <br /> Systems Dev. Fees (.a.-06 <br /> Public Works A1101- <br /> Traffic Mitigation Due? Yes No V <br /> School Mitigation Fee Al fi4- <br /> ZI 2 <br />