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FCkIVIIT# �/�(U�'�"'�(� <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bidg/TI/Addn/Rem Size ,s S� Zoning Classification ,2j L <br /> Garage Size 3�,s SF Overlay/Agreement <br /> VALUATION 63c� Nonresidential Use <br /> Number of Stories � Residential Use S��— <br /> Occupancy Group K./K Proposed No. of Dwelling Units: 1 <br /> � �� <br /> Occupant Load Total No. of Dwelling Units: � \ <br /> Basement Yes_ No,'�Fin/Unf Landscape or Plannin ,1`h pection ,� (-�� � /x <br /> — J V„ � <br /> J � � <br /> Type of Construction �,C� needed before final? Yes �` No; 2�j <br /> Existing Sprinkler System?Yes No Unk Planning Inspector: J� � �S �� <br /> Fire Sprinkler Required Yes No Phone#: ��iS• ZS 1. �� � <br /> Reason Approved by: � Date: �. �, <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes iC No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Req'd Yes #of Net New Units: � <br /> Deferred Submittal Req'd Yes No <br /> Approved by: Date: 6 (o Calculated School Impact Fee: ( bq <br /> Comments: ���Z �j��, � �S� School impact Fee Credit: <br /> Total School Impact Fee Owed: ��jG'L <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee / �,.5�' . _ � PW Permit Required? Yes No <br /> Building Permit �s Intake Checked By: Date: <br /> Surcharge ���% Comments: <br /> Additional Plan Check �' <br /> Plumbing Fee ��5�:�•C ) ��� ��� � � �� ����� <br /> Mechanical Fee �-� <br /> Ping Bldg Review Fee �;� _'``"% Fire Sprinkler Required by Fire Dept?Yes No <br /> Water Fee � � �: � (Fees: Yes/No, Explanation, Permit#'s, Amount) <br /> Sewer Fee L�-(��� Water Fee? Sewer Fee? <br /> Systems Dev. Fee C C��C� <br /> Traffic Mitigation Fee `�' � <br /> Public Works Fee S C�� System Dev. Fee? Traffc Mitiqation Fee? <br /> School Mitigation Fee r�� G,,;� ��1 <br /> Z{ z <br />