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0 DcA <br /> PERMIT# V \51 ' <br /> • <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING r <br /> Bldg/TittentRem Size 312 sF Zoning Classification . <br /> Garage Size /78 f / Overlay/Agreement —__— <br /> VALUATION -ZS 13 oa Nonresidential Use kNip NC <br /> No. of Stories V Residential Use S <br /> Occupancy Group IZ Proposed No. of Dwelling Units: 1\101`-\� <br /> Occupant Load Total No.of Dwelling Units: \ �� - <br /> Basement Yes No `�Fin/Unf Landscape or Planning Inspection / <br /> Type of Construction needed before final? Yes_ No .k <br /> Exstg Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes No Phone#: <br /> Reason Appro -d by: , Date: 12_12,g I, <br /> Exstg Fire Alarm? Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes No School Mitigation Reqd? Yes No d <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure(RCW64.55) Yes No #of Net New Units: <br /> Approved by: Date: /2/4//S Calculated School Impact Fee: <br /> Comments: Zo fz /2 C 4 ws-E.c. School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No / <br /> Intake Checked By: Si.E Date: 2 O U6 <br /> Building Permit <br /> Surcharge Comments: <br /> Additional Plan Check <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bldg Review Fee <br /> Water Fee (Fees: Yes/No, Explanation, Permit#'s,Amount) <br /> Sewer Fee Water Fee? Sewer Fee? <br /> Systems Dev. Fee N I P' 0 10" <br /> Traffic Mitigation Fee <br /> Public Works Fee System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee N[1`c Iv ()ii-. 212 <br />