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'1 IT# CI 6 0,67-®0(p <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> , <br /> Bldg I/Addn/Rem Size 2...5-9 54 5$ Zoning Classification <br /> Garage Size 120 SC- Overlay/Agreement <br /> VALUATION 3)5 3.5' Nonresidential Use <br /> No. of Stories 2.. Residential Use <br /> Occupancy Group f/u Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes.Yes ieNo ► Landscape or Planning Inspection <br /> Type of Construction g needed before final? Yes,_ No V <br /> Exstg Sprinkler System? Yes_ No Unk_ Planning Inspector: . <br /> Fire Sprink Reqd? Yes x No Phone#: -" <br /> Reason 6(0(�ot'i _ Approve, : 1 . +ate: 6 / <br /> Exstg Fire Alarm? Yes_ No_Unk_ Historic App oved by! i Date: <br /> Fire Alarm Reqd? Yes_ No_ School Mitigation Reqd? Yes_ No ). <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure (RCW64.55) Yes No_ #of Net New Units: <br /> Addntl Enc Doc's Rqd? Yes_ No <br /> Approved by: ejtfr Date: Z/2s`/� Calculated School Impact Fee: <br /> f <br /> Comments: Z or— ile.C. f, wSieC School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: 5v V'y,°y 0.4y 6 cell 1+4 `+ <br /> Ine Uf 6-dg, al- 7 rf O f <br /> Pca 11 ,n2/kcfreli <br /> FEES PUBLIC WORKS , <br /> Plan Check Fee (r g`i 1* PW Permit Required? Yes No <t %/ <br /> Building Permit 4 e,. ,3_ Intake Checked By:<4E4-- Date: a--?"16 <br /> Surcharge T-SD Comments: f J 'J Wait <br /> Additional Plan Check L7- <br /> Plumbing Fee Ike' -00 ©= t0 iYt -e4-E-4- <br /> Mechanical Fee /io,oZ <br /> Ping Bldg Review Fee �Ap- Fire Sprinkler Required by Fire Dept?Yes_No <br /> Water Fee ha- iv gaile, tc 5 f (Fees: Yes/No, Explanation, Permit it's,Amount) <br /> Sewer Fee V-,,ayty la a Water Fee? �l j ol. Sewer Fee? <br /> Systems Dev. Fee ( d Ste° I,��b�b r( tio° 0 d e)e�ory <br /> Traffic Mitigation Feer yug j -1 a�,A,( V <br /> Public Works Fee (46'00 System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee ip(e s'J� �' Cyt p(y beAwo <br /> D c* /oo <br />