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0610 - 633 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> 1 �ry s <br /> Bldg/TI/Addn/Rem Size 1 t ( 5 Zoning Classification <br /> Garage Size 415 Overlay/Agreement <br /> VALUATION /5-3 `t(Q 0 Nonresidential Use <br /> No. of Stories Residential Use <br /> Occupancy Group 5 Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No % Fin/Unf_ Landscape or Planning Inspection <br /> Type of Construction V— needed before final? Yes_ No <br /> Exstg Sprinkler System? Yes No"Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes ✓ No Phone#: <br /> Reason FIRE p Q'(, Q Nq Approved 61 f► late: ).a,/74 <br /> i <br /> Exstg Fire Alarm? Yes_ No f Unk_ Historic App/ved b Date: <br /> Fire Alarm Reqd? Yes— No i.1School Mitigation Reqd? Yes_ No <br /> (,...4.Re_sgp Everett School Dist Mukilteo School Dist <br /> Enclosure(RC 64.55) Yes/c #of Net New Units: <br /> Approved by:% '1 Date: / 2. -�. 9- is Calculated School Impact Fee: <br /> Comments School Impact Fee Credit: <br /> 1. "--gi Total School Impact Fee Owed: <br /> Comments: <br /> 411 '7011 <br /> T 1- <br /> FEES PUBLIC WORKS <br /> Plan Check Fee q .t3 0 Review Required? Yes No <br /> Building Permit I,t .q?"• f Reviewer:. Date: <br /> Surcharge 4-11 I. SO Comments: <br /> Additional Plan Check "' D • <br /> Water (1-1S,e4/JtG� !�Z-r 6. 00 GJeg (eo g, <br /> Sewer "?0 CO- Y7"Y •i"e-e DeAid "r <br /> Systems Dev. Due? Yes !' No <br /> Systems Dev. Fees -7,' (a7--DV <br /> Public Works (, <br /> fii Traffic Mitigation Due?)Yes No X <br /> School Mitigation Fee 1 f 0q7,-00 <br /> Fe'eid. u.,646ir pui i O?-0(S ____„0,„,_ `z <br /> 1 <br /> 711" <br />