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P MT if 0- 1511 - 004 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> BldgfTI/Addn/Rem Size 1 3 ((o SA Zoning Classification 3 L <br /> Garage Size (0,13 5 . <br /> _.. Qverlay/Agreement <br /> VALUATION Z3 0 74i? Nonresidential Use <br /> No. ofstories 3 Residential Use <br /> ...... . .. le <br /> / <br /> Occupancy Group 12/U Proposed No.of Dwelling units: I <br /> Occupant Load Total No.of Dwelling Units: I <br /> Basement Yes_ No.X Fin/unf Landscape or Planning Inspection <br /> Type of Construction 7(3 needed before final? Yes No_ <br /> Exstg Sprinkler System? Yes_ No K Unk_ Planning Inspector;S (..✓�.3) A-r- S_ <br /> Fire Sprink Regd? Yes .)( NoPhone#: /2-S Z�7 – 7' ,s"-` <br /> Reason Approved by:$.5--- -1 Date:2-'11'ZO(L <br /> Exstg Fire Alarm? Yes_ No Unk_ Historic Approved by: 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 K.. No_ #of Net New Units: I <br /> Addntl Enc Doc's Rqd? Yes No )C <br /> Approved by: Date: //Z�//(, Calculated School Impact`Fee: 101 Z <br /> Comments: Zo/2 /gC .0 !vac School Impact Fee Credit: <br /> Total School Impact Fee Owed/ `► / <br /> Comments: cA/_ / 1 I ald, <br /> S o uµ <br /> FEES PUBLIC WORKS <br /> Plan Check Fee 1 (00 3L1 PW Permit Required? Yes No <br /> Building Permit ("'?72-..15 Intake Checked By: Date: <br /> Surcharge 4-co Comments: <br /> Additional Plan Check O.,74 <br /> Plumbing Fee -Qp <br /> Mechanical Fee 670-00 <br /> Ping Bldg Review Fee 117-as Fire Sprinkler Required by Fire Dept?Yes_No_ <br /> Water Fee l a Gf&p0-(�(7 (Fees: Yes/No, Explanation, Permit#'s,Amount) <br /> Sewer Fee 70.00 Water Fee? Sewer Fee? <br /> 'Systems Dev. Fee(..., <br /> .0' i f_ (� 1 L <br /> Traffic Mitigation Fee Z )q 3 QO (�/ (� <br /> Public Works Fee W 00 System Dev. Fee?)SZ 0 <br /> Traffic Mitigation Fee? <br /> school Mitigation Fee 1 <br />