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%llT# Ot ,06 - b7/0 <br /> FOR OFFICE USE ONLY • <br /> - <br /> DUltD1NG _: IPLANNGI ~- <br /> • Bldg/TI/Addn/Rem Size (8 1 13 �'�' Zoning Classification g '–'1 <br /> Garage Size -_ Overlay/Agreement <br /> VALUATION t O(00Q 4( 'j�j'�vS)= Nonresidential Use . <br /> No.of Stories � ` Residential Use STVg._, <br /> Occupancy Group R. Proposed No.of Dwelling Units: —' <br /> Occupant Load lt/A Total No.of Dwelling Units: r— <br /> Basement Yes_ No_Fin/Unf Landscape or PIanning Inspection <br /> Type of Construction V– $ ' needed before final? Yes_ No_ <br /> Exstg Sprinkler System? Yes_ No Unlr, Planning Inspector: <br /> Fire Sprink Reqd? Yes— No-V ' Phone#: <br /> ' Reason Approvedl <br /> AP 11 a 1‘b <br /> �''I Date: .°°" <br /> Exstg Fire Alarm? Yes_ No 7 Unk_ Historic Approv-• by: Date: <br /> Fire Alarm Reqd? Yes No / School Mitigation Reqd? Yes No_ <br /> Reason f Everett School Dist Mukilteo School Dist <br /> Enclosure(- W64.55) Yes— No / #of Net New Units: <br /> Approved • • Date: 6 ..,9 9 - / L Calculated School Impact Fee: <br /> Comme School Impact Fee Credit <br /> Total School Impact Fee Owed: <br /> Comments: - <br /> - <br /> V1 CO3A) i'A•LP` <br /> FEES: '•PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No X <br /> Building Permit . Intake Checked By: ki5 Date: _ 2?.-/ee, <br /> Surcharge Comments: <br /> eu-rS b1�� cofr' � 0‘.,Additional Plan Check <br /> Plumbing Fee 72.0 S7�^Q¢`4 7a sr�y -(-/e <br /> Mechanical Fee Sqviire, <br /> Ping Bldg Review Fee ' <br /> Water Fee (Fees:Yes/No,Explanation,Permit#'s,Amount) <br /> Sewer Fee Water Fee? Sewer Fee? <br /> Systems Dev. Fee <br /> Traffic Mitigation Fee <br /> Public Works Fee System Dev.Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee = .N <br /> I _. - j <br /> t <br />