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cCStG _Gf <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bidg/TI/Addn/Rem Size 1 1 ;> Zoning Classification <br /> Garage Size 147--,.3 Overlay/Agreement <br /> VALUATION 15'3 147 0 Nonresidential Use <br /> No. of Stories 3 Residential Use <br /> Occupancy Group l2 Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No 3/F'in/Unk Landscape or Planning Inspection <br /> Type of Construction V— 3needed before final? Yes No <br /> Exstg Sprinkler System? Yes No w/ <br /> Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes ✓ No_ Phone#: iir r <br /> Reason c1n, oat fit-EQdhNj. Approved .1!! 'r_ late: i r//: , <br /> Exstg Fire Alarm? Yes_ No ✓-Unk Historic Appoved b/ Date: <br /> Fire Alarm Reqd? Yes No if School Mitigation Reqd? Yes X No <br /> Reason Everett School Dist Y Mukilteo School Dist <br /> Enclosure(RC 64.55) Yes No V #of Net New Units: <br /> Approved by:, %l)1 Date: 12 -a 9- iS Calculated School Impact Fee: <br /> Comments School Impact Fee Credit: <br /> Total School Impact Fee Owed: IC_/a4'O <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee 342)- 0 N Review Required? Yes No <br /> Building Permit I?q69•(S Reviewer:. Date: <br /> Surcharge -5� Comments: <br /> Additional Plan Check <br /> Water ( if 5/ -DO <br /> Sewer '-740.®0 � 5C�®�J o 6Systems Dev. Due? Yes , No c)IVO <br /> Systems Dev. Fees -7,L -00 <br /> Pu• ' Works (ySC60 <br /> fleeMitigation Due? Yes No <br /> School Mitigation Fee log-R.0-6 <br /> led u-w P-'I c10E-C191 <br />