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PT# b 1(e0?—.-b0 \ <br /> � <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> 4 <br /> Bldg&ddn/Rem Size 5 0,4 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories I Residential Use <br /> Occupancy Group f, Proposed No. of Dwelling Units: <br /> Occupant LoadI Total No.of Dwelling Units: <br /> Basement Yes_ No�in/Unf Landscape or Planning Inspection <br /> Type of Construction 1 11- 8 / needed before final? Yes/ No_ <br /> Exstg Sprinkler System? Yes_ No Unk_ Planning Inspector: 6,}eUe !/. vv-T: weIdo4 <br /> Fire Sprink Reqd? Yes— No ✓ Phone#: ''26 --- --/3/ <br /> Reason Approv:• by: I Date:�3 lip <br /> Exstg Fire Alarm? Yes No Unk Historic Approved by: Date- <br /> Fire Alarm Reqd? Yes_ No School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure (RC1 /64.55) Yes_ No`/ #of Net New Units: <br /> Addntl Enc Dos qd? Yes No / <br /> Approved by: 6 pate: 2_ S - IC <br /> Calculated School Impact Fee: <br /> Comment School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> comments: ir <br /> eop7p/ VVRf I <br /> V—n0/ <br /> FEES PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By: Date: <br /> Surcharge Comments: <br /> Additional Plan Check 5 ,pW:,1 1 too -'o <br /> Plumbing Fee r <br /> Mechanical Fee <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes_No_ <br /> Water Fee (Fees: Yes/No,Explanation, Permit#'s,Amount) <br /> Sewer Fee Water Fee? Sewer Fee? <br /> Systems Dev. Fee <br /> Traffic Mitigation Fee <br /> Public Works Fee — System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee <br />