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-1---r o 14+ n/Ebra- n C-C.__ C-a h 0 ( _,eAllS( <br /> ,0 ,' i6' 4-013 <br /> FOR OFFICE USE ONLY <br /> • <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size /U Zoning Classification b :3 <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories AJ 4 Residential Use <br /> Occupancy Group - /f� Proposed No. of Dwelling Units: <br /> Occupant Load pi A Total No. of Dwelling Units: <br /> Basement Yes_ No✓Fin/Unf Landscape or Planning irmction <br /> Type of Construction e.07;/4 needed before final? Yes— No_ <br /> Exstg Sprinkler System? Yes_ •No-Unk_ Planning Inspector:(5f .---rr� t.5 <br /> Fire Sprink Reqd? Yes_ No ‘/"-- Phone#: 7'3 <br /> Reason Approved by: Date:7 •I'• is <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(R 64.55) Yes— No— #of Net New Units: <br /> Approved by h.- Date:1_ 1 _ 1 j Calculated School Impact Fee: <br /> Comment School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: Aw CH <br /> iel-e012_0°J Olt L— <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Review Required? Yes No <br /> Building Permit Reviewer: Date: <br /> Surcharge Comments: <br /> Additional Plan Check <br /> Water <br /> Sewer <br /> Systems Dev. Due? Yes No <br /> Systems Dev. Fees <br /> Public Works <br /> Traffic Mitigation Due? Yes No <br /> School Mitigation Fee <br />