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FOR OFFICE USE ONLY c I. V f 1 _0 2, <br /> BUILDING PLANNING v <br /> s <br /> Bldg/TI/Addn/Rem Size 1 t / 5 Zoning Classification <br /> Garage Size 47,3 Overlay/Agreement <br /> VALUATION —l53 4690 Nonresidential Use <br /> No. of Stories Residential Use <br /> Occupancy Group 5f 12 Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No 7Fin/Unf_ Landscape or Planning Inspection <br /> Type of Construction \/7— Qneeded before final? Yes No_ <br /> Exstg Sprinkler System? Yes No" Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes ✓ No Phone#: <br /> Reason c1 Oat Qe'NT• Approved G1 :,_ late: J/C� 7, <br /> Exstg Fire Alarm? Yes No f Unk Historic App oved b Date: <br /> Fire Alarm Reqd? Yes_ No Li School Mitigation Reqd? Yes No <br /> Everett School Dist Mukilteo School Dist <br /> Enclosure(RCt,J�664.55) Yes I4 lam' #of Net New Units: <br /> Approved by:/rip i Date: -a 9 /S Calculated School Impact Fee: <br /> Comments School Impact Fee Credit <br /> Total School Impact Fee Owed: <br /> /-1:4(.5;CIA- Comments: <br /> 4( Oil.? <br /> FEES PUBLIC WORKS <br /> Plan Check Fee 't+2 .�0 Review Required? Yes No <br /> Building Permit 1( 41.,..,- (' Reviewer:. Date: <br /> Surcharge L4. SO Comments: <br /> Additional Plan Check <br /> Water t"5C4rViCt. r'9/&- OD e�. P (�jo g'D L <br /> Sewer "Z 0 CO Si «//140(- 1 <br /> Sy —61 stems Dev. Due? Yes y, No <br /> Systems Dev. Fees `7;j 6r7Z D <br /> Public Works'CZ <br /> Traffic Mitigation Due? )Yes No <br /> School Mitigation Fee 1 Qq z,-0O <br /> a,a (,c,,, PW i 0R-O(S <br /> ,:-Th <br />