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1 <br /> C1O ? I <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size i 19- 9 Zoning Classification <br /> Garage Size 439 Overlay/Agreement <br /> VALUATION 1,57 /. Nonresidential Use <br /> No. of Stories 3 Residential Use <br /> Occupancy Group SF IL Proposed No.of Dwelling Units: <br /> Occupant Load , Total No.of Dwelling Units: <br /> Basement Yes_ No_VFin/Unf Landscape or Planning Inspection <br /> Type of Construction V 6. needed before final? Yes_ No <br /> Exstg Sprinkler System? Yes_/ No V Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes V No_ Phone#: ,/ f <br /> Reason ' 12..E. p€,P'r. `1-E*2�►NT Approve. :r / --- :. -. / f 4, <br /> Exstg Fire Alarm? Yes No Unk Historic Apprved by: Date: <br /> Fire Alarm Reqd? Yes_ No ' School Mitigation Reqd? Yes_ No_ <br /> on Everett School Dist Mukilteo School Dist <br /> Enclosure(R W64.55) Yes 1L #of Net New Units: <br /> Approved by Date: f). -9 g _ /5 Calculated School Impact Fee: <br /> Commen School Impact Fee Credit: <br /> rn,I(YAQ <br /> Total School Impact Fee Owed: <br /> 'k'I c' 11 Comments: . <br /> -r. L ' <br /> FEES PUBLIC WORKS <br /> Plan Check Fee J/- Review Required? Yes No <br /> Building Permit (?5't-t"-ts Reviewer:. Date: <br /> Surcharge q-s Comments: <br /> Additional Plan Check <br /> Water AA�� W ? g� <br /> Sewer '70 40 PV)��) I Og-o <br /> Systems Dev.Due? Yes No 9 I- ` e l4,` <br /> Systems Dev. Fees '2/ID77i vU Y ►fh <br /> '� <br /> Public Works 0 S.-4'D <br /> CNoCraffic Mitigation Due? Yes <br /> School Mitigation Fee \I(.( 09A-CD <br /> f <br />