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� (II a , (0,10. pacCK (Iia ) (>o� 4— C2S� = �--71gq� <br /> 1 -75 0QFr-1 VCCK V qIT# <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 28 3 Zoning Classification — <br /> Garage Size Overlay/Agreement H ' C(2- <br /> VA LUATION <br /> (2-VALUATION Nonresidential Use <br /> No. of Stories Residential Use f/ <br /> Occupancy Group 2 Proposed No. of Dwelling Units, <br /> Occupant Load ' Total No. of Qwelling Units: <br /> Basement Yes YNo_ 'n of Landscape or Planning Inspection / <br /> Type of Construction needed before final? Yes_ No�! <br /> — � <br /> Exstg Sprinkler System? Yes_ No t/ Unk_ Planning Inspector: <br /> Fire Sprink Reqd? Yes_ No Phone#: <br /> Reason Approved by: iipw <br /> Date C4 i (s <br /> Exstg Fire Alarm? Yes_ No_Unk_ Historic Approved by: •`� Date: 2�J <br /> Fire Alarm Reqd? Yes_ No School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure (RCV464.55)64.55) Yes No #of Net New Units: <br /> Addntl Enc DoA- Rqd? Yes V1 No <br /> Approved by/ Date: — _T(_0 Calculated School Impact Fee: <br /> Comment : School Impact Fee Credit: <br /> G(z(L'���►C4t�orl <br /> ��tt£.(Z �2ow� (IvQ�P6NOLN'1" Total School Impact Fee Owed: <br /> N VLo PE t NS PE Ct o 2 Y R 102 Comments: <br /> 4 Nc,r or CE(.r- 0 I o CC, <br /> 0V__ 34 <br /> FEES PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By:_AZI Date: <br /> Surcharge Comments: No Ltnxo_ '� , <br /> Additional Plan Check <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes_ — <br /> Water Fee (Fees: Yes/No, Explanation, Permit#'s,Am nt) <br /> Sewer Fee Water Fee? Sewer Fee? <br /> Systems Dev. Fee - <br /> Traffic Mitigation Fee I" I <br /> Public Works Fee S stem Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee j 11l� <br /> � `ji' <br />