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5c)2 — oan <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bld /TI/Addn/Rem Size 2 1q Zoning Classification ' <br /> Garage Size l' Overlay/Agreement P� <br /> VALUATION 1 370 -1 y S Nonresidential Use <br /> No. of Stories I Residential Use <br /> Occupancy Group - 1 13 Propos d No. of Dwelling Units: Y by <br /> Occu ant Load 4- T). Total No. of Dwelling Units: <br /> Basement Yes— No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction W - 3 needed before final? Yes_V No_ <br /> Exstg Sprinkler System? Yes_ No 1/ Unk Planning Inspector:PiA hner - on-Jui <br /> Fire S rink Re d? Yes ✓ No Phone#: 2 31�1 10, <br /> Reason Approved Date: t' I <br /> Exstg Fire Alarm? Yes No V Unk Historic Approved by: --- Date: <br /> Fire Alarm Re d? Yes ✓ No School Mitigation Reqd? Yes No <br /> Reason A e I( Everett School Dist Mukilteo School Disf-"-" <br /> Enclosure RC 64.55 Yes No_ #of Net New Units: <br /> Approved byJ& Date: Calculated School Impact Fee: <br /> Comment : School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> �U,�cL�u�c��nJ alcl I�V'►1�I�nf� 1c���o�n <br /> ploy <br /> e,w t C4 o . <br /> FEES <br /> Plan Check Fee <br /> Building Permit yj 7.q <br /> Surcharge 4--c-c) <br /> Additional Plan Check l It% 7-7 1 5- <br /> Water Water <br /> Sewer )' ZJ <br /> Systems Dev. Due? Yes No <br /> Systems Dev. Fees &(3 <br /> Public Works 9rj D 3-S/ <br /> Traffic Mitigation Due? Yes �No Rcpt# 70(-3-3k- OV <br /> School Mitigation Fee <br /> Z-/Z- <br />