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SIT# i t)0 3-cc 7 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> fdg/rl/Addn/Rem Size 2y3s . ,4 Zoning Classification � 1 <br /> Garage Size 3$S Sf Overlay/Agreement <br /> VALUATION 2,)/, 6 30 Nonresidential Use <br /> Number of Stories 3 Residential Use 34(--(-- <br /> Occupancy Group /e/(,1 Proposed No. of Dwelling Units: 1 <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No LC Fin/Unf Landscape or Planning Inspection <br /> Type of Construction rE needed before final? YesX No_ <br /> Existing Sprinkler System?Yes No Unk Planning Inspector ,,J1-- 1•1Zs-N1 . <br /> Fire Sprinkler Required Yes_ No Phone#: - _ 7 ' 3 j <br /> Reason Approved by Date:5:20- I b <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: _ <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes No— <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Req'd Yes #of Net New Units: I <br /> Deferred Submittal Req'd Yes No <br /> Approved by: citi4 Date: .519//0 Calculated School Impact Fee: <br /> Comments: 20/2. /RC ti frvreirc School Impact Fee Credit: <br /> Total School Impact Fee Owed: /(-J5j 7 <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee i7js,( 27- PW Permit Required? Yes No <br /> Building Permit 21_ t -9S Intake Checked By: Date: <br /> Surcharge -f -_S C Comments: <br /> Additional Plan Check <br /> Plumbing Fee (SC -on pix) <br /> r c,e3 - 0a 3 <br /> Mechanical Fee r yV-IV <br /> Ping Bldg Review Fee -iL-IS Fire Sprinkler Required by Fire Dept?Yes No <br /> Water Fee 0110.t'O (Fees: Yes/No, Explanation, Permit#'s,Amount) <br /> Sewer Fee i1) G Water Fee? Sewer Fee? <br /> Systems Dev. Feeo r I f p CO <br /> t (ter /C% <br /> Traffic Mitigation Fee ' --- <br /> Public Works Fee (0 S-t System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee 1 1) r OZ) _/ <br /> J <br /> zlz___ <br />