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1 0 -°V <br /> FOR OFFICE USE ONLY " <br /> BUILDING PLANNING <br /> Bldg/Tl/Addn/Rem Size 1 \ / 5 Zoning Classification <br /> Garage Size 147:�rj/ Overlay/Agreement <br /> VALUATION `t69 0 Nonresidential Use <br /> No. of Stories 3 Residential Use <br /> Occupancy Group 5'f R Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes No/in/Unf Landscape or Planning Inspection <br /> Type of Construction V— aneeded before final? Yes— No <br /> — <br /> Exstg Sprinkler System? Yes No"Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes ✓ No_ Phone#: <br /> Reason vIn oat, I't.QoiNT. Approved .! late: )j��� <br /> Exstg Fire Alarm? Yes_ No ✓-Unk_ Historic App/ved b . Date: ` <br /> Fire Alarm Reqd? Yes— No t/ School Mitigation Reqd? Yes No <br /> $easen Everett School Dist Mukilteo School Dist <br /> Enclosure(RC 64.55) Yes No #of Net New Units: <br /> Approved by:. Date: ) 2. -a 9- i,j Calculated School Impact Fee: <br /> Comments. School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> L <br /> 6 1 Comments: <br /> �( 1-- - <br /> e fr-i FEES PUBLIC WORKS <br /> 1,afeii5.9 4(-maiIan Checl e� q " (9. Review Required? Yes No <br /> CCCJ Tl'cr i.iS Building Permit t t 4(v • ( s-- Reviewer:. Date: <br /> ETP41- (l IS—a-6P Surcharge 4, tt 5 <br /> "I � 0 Comments: <br /> Additional Plan Check <br /> Water (/(S ,ViCe.. i&. 00 Seg ftU / OK"Di <br /> d <br /> Sewer '7 U-CO 0r i-F-e. D- j®T <br /> Systems Dev. Due? Yes `( No <br /> Systems Dev. Fees 1 f e(I Z-OD <br /> Public Works (‘,. '0-6 <br /> Traffic Mitigation Due?)Yes_ No <br /> School Mitigation Fee I f Oc Z .00 <br /> reeij (j.,ti, 0,0 i.OR-0(s <br />