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FRMIT# of(,,®a -p!3 <br /> FOR OFFICE USE ONLY <br /> BUILDING _ PLANNING <br /> Id /TI/Addn/Rem Size -3°0 Zoning Classification <br /> .arage SizeOverlay/Agreement <br /> VALUATION L 3 500 No.n•residential Use <br /> No.of Stories Residential Use <br /> Occupancy Grpup Proposed No.9f Dwelling Units: <br /> Occupant Load `3 Total No.of Dwelling Units: <br /> Basement Yes_ No✓Fin/Unf Landscape or Planning Inspection <br /> Type of Construction \f' needed before final? Yes No T <br /> Exstg Sprinkler System? Yes_ NO V Unk_ Planning Inspector; 51:6169 1.. n i€ c�02- ) <br /> Fire Sprink Reqd? Yes_, No . / Phone#; 4 —15,— 3,1 A <br /> Reason V Approved y: Date: 2/:—.3/ <br /> 3 i tp <br /> _ <br /> Exstg Fire Alarm? Yes No f/ Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes_ No t. / School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure(RC 64.55) Yes_ No_ #of Net New Units: <br /> Addntl Enc Do s Rqd? Yes_ No_ <br /> Approved by: Date. �� Calculated School Impact Fee: <br /> Comments-` School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> Q ori,`U J/ Rev i -UOI <br /> FEES . . PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No <br /> Building Perm_it Intake Checked By: Date: <br /> Surcharge Comments: 56 <br /> Additional Plan Check `, 9JI�r`,� <br /> Plumbing Fee P �t/ [ I(JO? - 01+ <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 /> Z <br /> i 24 I <br />