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rr IT it 6 t&o, -0( <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg I/ ddn/Rem Size 1 3 i 11 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 9 C O00 Nonresidential Use <br /> No. of Stories I Residential Use <br /> Occupancy Group Ir Proposed No.of Dwelling units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No VFin/Vnf Landscape or Planning Inspection <br /> Type of Construction I <br /> needed before final? Yes No <br /> Exstg Sprinkler System? Yes_ No `�Unk Planning Inspector: J �C� 1. vv7. We/da/I <br /> Fire Sprink Reqd? Yes_ No✓ Phone#: -2G -g-73/�, J <br /> Reason Approv_. by: 1111r Date:2/3 l� <br /> Exstg Fire Alarm? Yes_ No_/_Unk 1� Historic Approved by: Date---I/// <br /> Fire Alarm Reqd? Yes_ No✓ School Mitigation Reqd? Yes_ No— <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure (R .64.55) Yes_ No #of Net New Units: <br /> Addntl Enc c's Rqd? Yes_ No <br /> Approved b : � Date: ... _ 5 4 f C Calculated School Impact Fee: <br /> Comment School Impact Fee Credit: <br /> Total school Impact Fee Owed: <br /> Comments: <br /> ety27p/ 1A/RC—I . <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 "ee p I4RJ NF1 t 1 r_0a' °11 <br /> Plumbing Fee ����ii <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 /> I <br /> 4 2,/ <br /> - \ <br />