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CGSc0 - 0I3 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING I <br /> s <br /> Bldg/TI/Addn/Rem Size f '7 ) Zoning Classification <br /> Garage Size £4-7.3 Overlay/Agreement <br /> VALUATION 15•3) O Nonresidential Use <br /> No. of Stories : Residential Use <br /> Occupancy Group 5 (1- Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No j/Fin/Unf Landscape or Planning Inspection <br /> Type of Construction V— 6needed before final? Yes No— <br /> Exstg Sprinkler System? Yes No"Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes t/ No Phone#: <br /> Reason c‘u. oat eciEwiroi. Approved : r► •ate: /4/3 , <br /> Exstg Fire Alarm? Yes_ No ✓ Unf Historic Appoved b 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 V #of Net New Units: <br /> Approved by: I))1 Date: 12. -a 9- IS. Calculated School Impact Fee: <br /> Comments. School Impact Fee Credit: <br /> Total School Impact Fee Owed: 1 oq2 W <br /> Comments: . <br /> FEES PUBLIC WORKS <br /> Plan Check Fee gt/ra-f'Jo Review Required? Yes No <br /> Building Permit I ? 6/ *(`5 Reviewer:. Date: <br /> Surcharge tt•go Comments: <br /> Additional Plan Check -,- <br /> Water J16-OO <br /> Sewer /0-00 / <br /> Systems Dev. Due? Yes?(_, No T�\ �D(41 <br /> Systems Dev. Fees 7 qta-0Q <br /> Public Works cozo <br /> 6.9f. Mitigation Due? Yes No i. <br /> School Mitigation Fee ,O.. 0 <br /> pd- bteldf/r PtO 60g-001 0Zf <br />