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'�iinP <br /> i�# �) (�03—Oz� <br /> F�R OFFICE US�' O�IL9° <br /> � �� BUILDIIVG � � PLAiVNIiVG <br /> , . . , <br /> B1dg/TI/AddnlRem Size zoning Classification <br /> Garage�ize � Qverlay/Agre�ment <br /> VARUATIQN Nonresid�ntial�Js.e <br /> _ .,___ _ _ �. . . ......_.. .... .. ..� ..._ ._,.- . . <br /> No.ofiStori�a � Rssid.e.nti�i �l�e <br /> .. . , , . . _ _. . ,.,._ ,_. . . .. <br /> . . �.. . . . , . <br /> pacupancy�rQ�ap ` 2 . Prop�sed No.pfi 17welling �Jnits: <br /> Qcclipant Lc?ad Total No.Q�pwelling l�nifis: <br /> . �... ....... . . . . . ... . ...., � .. . _ . �.«. ::. -. _ _. T.e.. ... .. .. . ... . . <br /> Sasement Y�s Na VFinJl�nf Lancisaape ar Planning Inspectian <br /> Type of Gonstructian �- nesded before final? Yes_ Na_ <br /> Exstg Sprinkler�ystem? Yes No Ul�k Planr�ing Inspeetor: <br /> Fire 8prink Reqd? Yes_ No_ phone#: <br /> Reason Approved Date: / <br /> Exstg Fire Alarm? Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes_ Na_, 8chool Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure (RG1N .55) Yes_ No_ #of Net New Units: <br /> Addntl Enc Do s qd? Yes � No_ <br /> _. .. .. __. _— .. <br /> Approved by Qate:� — � ` ,� Caiculated Scho�l Impact�Fee: <br /> ... .. . .. ..... ,._...... . .._�. ........._ .... .. .:.. _ . . . <br /> Comment . SGhooi fmpacf Fee Cred'+t: <br /> Total Schoo! Impact Fee Owed: <br /> Comments: . <br /> . . FEES � � PUBLI�WO:RKS . . <br /> Pfan Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By: pate: <br /> Surcharge Comments: <br /> Additional Plan Check <br /> Plumbing Fee <br /> Mechanicai Fee <br /> Ping Btdg Review Fee Fire Sprinkler Required by Fire Dept?Yes_No_ <br /> Water Fee (Fess:Yes/No,Explanation, Permit#`s,Amount) <br /> Sewer Fee Wafer Fee? Sewer Fee? <br /> Systems Dev. Fee <br /> Traffic Mitigation Fee <br /> Pubiic Works Fee System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee <br /> . �.,�_ . -. <br /> � ,.,.,�� <br /> _ � �� � <br />