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FOR OFFICE USE ONLY <br /> G 19.0-52: <br /> BUILDING PLANNING <br /> s <br /> Bldg/TI/Addn/Rem Size I \ 15" <br /> Zoning Classification <br /> Garage Size ^ 15 Overlay/Agreement <br /> VALUATION /53 0 Nonresidential Use <br /> No. of Stories �} Residential Use <br /> Occupancy Group 5-F (Z 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 Nov Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes ✓ No Phone#: f <br /> Reason �I b $"C. Qa+,N�. Approved 6 : j, 'ate: 03/4 <br /> Exstg Fire Alarm? Yes_ No ✓Unk_ Historic App oved b . Date: <br /> Fire Alarm Reqd? Yes_ No ✓ School Mitigation Reqd? Yes No <br /> Rea — Everett School Dist Mukilteo School Dist <br /> Enclosure(RC0J64.55) ft No V' #of Net New Units: <br /> Approved by I))1 Date: 1 Z -a. 9-- JJ Calculated School Impact Fee: <br /> Comments. School Impact Fee Credit: <br /> gial 5( )4 Total School Impact Fee Owed: <br /> if t ',9 ( 7 Comments: <br /> i <br /> _SES PUBLIC WORKS <br /> T $fj7Q Plan Check Fee LI-7,. .?))CjReview Required? Yes No <br /> I,i�,u '� Building Permit I I4r(.0.( S— Reviewer:. Date: <br /> P) l''✓d g'D1'] Surcharge "1 . 5d Comments: <br /> Additional Plan Check S. <br /> Water (/'Se.r/tC �sr'9/(0. OD L. eg- PIA) f eo�' <br /> Sewer '70-cO dap <br /> Systems Dev. Due? Yes ), No <br /> Systems Dev. Fees 'Z;q la-CO <br /> Public Works (.G -a <br /> Traffic Mitigation Due? IYes No X <br /> School Mitigation Fee 1 i Oq Z-DO <br /> Fa U.402164( 6PW E ®R'o( <br />