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r <br /> e <br /> PERMIT# £if(QO (` D (3 <br /> FOR OFFICE USE ONLY <br /> BUILDING ` PLANNING <br /> Bldg/Tl/Addn/Rem Size ,qq 3 -SF Zoning Classification — <br /> G <br /> Garage Size T 7 3 S14. Overlay/Agreement <br /> VALUATION Z 52 i 0S2.- <br /> Nonresidential Use <br /> No.of Stories / Residential Use S (` <br /> Occupancy Group Proposed No.of Dwelling Units: cy\e_. • <br /> Occupant Load Total No.of Dwelling Units: QA� <br /> Basement Yes_ No jX Fin/Unf Landscape or Planning inspection <br /> Type of Construction , {3 needed before final? Yes No_ <br /> Exstg Sprinkler System? Yes_ No_Unk_ Planning Inspector: i (\(-A\ar <br /> Fire Sprink Reqd? Yes_ No_ Phone#: —lw• p Q`- <br /> Reason Approved by: Date: Si <br /> /((e <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 NA. Mukilteo School Dist <br /> Enclosure(RCW64.55) Yes_ No #of Net New Units: t �(\� 44 . ! ,-,,(� <br /> Approved by: ler Date: Z//7V/t, Calculated School Impact Fee: ) ,tlo 4 a,a, <br /> Comments: Z�/Z /Qc. # wSuG School impact Fee Credit: tO(IGIi(" <br /> Total School Im•act Fee Owed: Rb ' 6° ,A AP. <br /> Comments: f JCCrid SQQQi(__ _p. •Vlg y <br /> 2ec� FSG \ .1.-',C .f. c` ok <br /> \o,Nosscop\c\ \\ 0,\-a pnA\N v‘ s\194.1 <br /> OSe- ori,.\opc\aec kitA S <br /> �' `� PQM` <br /> v\vkS vc ik04 \ " aka 4c- V4-14\, <br /> FEES PUBLIC WORKS <br /> Plan Check Fee IW t( . 4(01 7iCf' PW Permit Required? Yes )(., No <br /> Building Permit ( g 5 5 Intake Checked By: Date: <br /> Surcharge , t :• Comments: <br /> Additional Plan Check _ j• 4o <br /> Plumbing Fee I( (to_0a ' PO 10.0i--O(l <br /> Mechanical Fee q0 OD <br /> Ping Bldg Review Fee I. / *10(0 Fire Sprinkler Required by Fire Dept?Yes_No <br /> Water Fee 7 -06 (Fees: Yes/No,Explanation, Permit#`s,Amoun <br /> Sewer Fee K -10-on Water Fee? Sewer Fee? <br /> Systems Dev. Fee 7 / OR'C "/i( GTraffic Mitigation Fee /t,t <br /> ,0/4(` <br /> � <br /> Public Works Fee (0 OO System Dev.Fee? / Traffic Mitigation Fee? <br /> School Mitigation Fee <br /> 7(z,q� ?d,� W/stO4ri��` <br /> ZjZ <br />