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FOR OFFICE USE ONLY C li o - 624, <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 1 I Lf 9 Zoning Classification <br /> Garage Size 439 Overlay/Agreement <br /> VALUATION l 57 I.: ,' Nonresidential Use <br /> No. of Stories 3 Residential Use <br /> Occupancy Group 5F I L 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 ✓ 13 needed before final? Yes- No <br /> Exstg Sprinkler System? Yes_/ No V Unk_ Planning Inspector: <br /> Fire Sprink Reqd? Yes V No_ Phone#: <br /> Reasoni oar %f,/,3/4 <br /> `�i�� PUN. `I-Q+��n��'. Approve... .. -: <br /> Exstc Fire Alarm? Yes_ No 1-7.Unk Historic Appr•ved by: Date: <br /> tire Alarm Reqd? Yes) No " School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo School Dist <br /> 1 <br /> Enclosure(R W64.55\ Yes No #of Net New Units: <br /> Approved by Date: la -9 q _ is Calculated School Impact Fee: <br /> Commen : _ School Impact Fee Credit: <br /> it KIM- Total School Impact Fee Owed: <br /> tf (ct it .7 Comments: <br /> 'rf• (--' <br /> S PUBLIC WORKS I <br /> Pa —5 rdi;---------- 1.--------------------E F..&--f,IY P�iS ze Ivory Plan Check Fee Review Required? Yes No <br /> 0%-0 it Building Permit ( --T Reviewer:. Date: <br /> Surcharge 14-CO Comments: <br /> Additional Plan Check <br /> Water 1q 'l(o•a) <br /> Sewer 10' /e. PV) / O&-o( <br /> Systems Dev.Due? Yes No /"'_ _ Si-Fe <br /> ��,/ <br /> Com <br /> teelm <br /> Systems Dev. Fees •1� 2 <br /> (, -0 0 --Fehr �l " <br /> Public Works IO6:457) <br /> 6 Traffic Mitigation Due? Yes No ,,... <br /> School Mitigation Fee ''0 .00 <br /> Pd - Pw t 'O Ot <br />