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FOR OFFICE USE ONLY C, ) d- 6 3O <br /> BUILDING PLANNING <br /> ` s <br /> Bldg/TI/Addn/Rem Size 1 t 1 ) Zoning Classification <br /> Garage Size Z Overlay/Agreement <br /> VALUATION /53 4690 Nonresidential Use <br /> No. of Stories Residential Use <br /> Occupancy Group 5 F r- Proposed No. of Dwelling Units: <br /> Occupant Load , Total No.of Dwelling Units: <br /> Basement Yes_ Noin/Unf_ Landscape or Planning Inspection <br /> Type of Construction V— 3needed before final? Yes_ No_ <br /> Exstg Sprinkler System? Yes_ Nov Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes ✓ No_ Phone#: <br /> ReasonI(lE Oft'C. Q,I►,I�T. Approved .1 i► sate: 2/1, ` <br /> �� <br /> Exstg Fire Alarm? Yes_ No 1,-Unk_ Historic Apved b Date: / ` <br /> Fire Alarm Reqd? Yes— No i.1School Mitigation Reqd? Yes No <br /> Everett School Dist Mukilteo School Dist <br /> losure(RC 64. 5) Yes Nc P #of Net New Units: <br /> Approved by:./ I211 Date: 12 -a 9- t J Calculated School Impact Fee: <br /> Comments School Impact Fee Credit: <br /> (� �/ Total School Impact Fee Owed: <br /> Rc S'.z Comments: . <br /> 41/17i/ 7 <br /> L.. <br /> -------- PUBLIC WORKS <br /> pd -7lzoc <br /> j Plan Check Fee At 1 Review Required? Yes No <br /> t rat�/�,``SP 6c� Building Permit I,I .4Lrr�, l 5" Reviewer:. Date: <br /> I���©� 'reVe Surcharge "1 50 Comments: <br /> Additional Plan Check /� r <br /> Water ( e N`cl.. �-r'9/(O. 60 deg PIA) (JO � 0 I! <br /> Sewer "1 D-COj£4:e DiA/J©:f <br /> Systems Dev. Due? Yes ); No <br /> Systems Dev. Fees 7 q(87-OD <br /> Public Works JOD <br /> - <br /> (.Traffic Mitigation Due Yes No <br /> School Mitigation Fee 1 f Og z- 00 <br />