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10333 19TH AVE SE SHIFA HEALTH 2016-01-01 MF Import
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10333 19TH AVE SE SHIFA HEALTH 2016-01-01 MF Import
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Last modified
4/14/2017 8:58:06 AM
Creation date
4/2/2017 9:56:11 AM
Metadata
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Template:
Address Document
Street Name
19TH AVE SE
Street Number
10333
Tenant Name
SHIFA HEALTH
Imported From Microfiche
Yes
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FOR OFFICE USE ONLY �� `�"—�1 <br /> B I `{UR -Q57 <br /> BUILDING PLANNING <br /> Bld� I ddn/Rem Size 3� � Zoning Classificalion - �j <br /> Garage Size Overlay/Agreement <br /> VAI_UATION Nonresidential Use <br /> No. o(Stories � Residenlial Use �1 <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 Inspection <br /> T pe o(Conslruction � needed before final? Yes_ No � <br /> E�stg Sprinkler System? Yes No Unk Planning Inspector. <br /> Fire Sprink Reqd? Yes No Phone#: <br /> Reason � Approved by: Date: � <br /> Exsig Fire Alarm? Yes No Unk_ Historic Approved by: �� Date�. <br /> Fire Alarm Reqd? Yes No School tAitigation Reqd? Yes No �' <br /> Reason Everett School Dist PAukilteo School Dist <br /> Enclosure (R 64.55) Yes No #of Ne?New Units: <br /> Approved by: Dale: Calculaled School Impacl Fee: <br /> CommeNs: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES <br /> Plan Check Fee .�j ,�[/� �f��y' <br /> r— <br /> Building Permil <br /> Surcharye •,s <br /> Addilional Plan Check <br /> - Water T..i• � <br /> Sewer (,y, �(.J� <br /> Systems Dev. Due? Yes No _ �t,Gu.� �'j¢b 7-D LI <br /> Systems Dev. Fees � <br /> Public Works ,(� <br /> Traffic Miligation Due7 Yes Rcpt# �-6 • <br /> School Miligalion Fee /J q' .��� <br /> ��linn�,• 131ct��iuJ /0�{-`I� <br />
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