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FIHIIIIT# C5ND7).— Ot <br /> FOR OFFICE USE ONLY <br /> s <br /> BUILDING <br /> _. PLANNING � <br /> Bldg/Tl/Addn/Rem Size 1 , t 0 Zoning Classification <br /> Garage Size l' Overlay/Agreement <br /> VALUATION C 11;11 <br /> 3 Z2 Nonresidential Use <br /> Number of Stories 1 Residential Use <br /> Occupancy Group 5. \ <br /> Proposed No. of Dwelling Units: <br /> Occupant Load 4 Total No. of Dwelling Units: <br /> Basement Yes_ No V/Fin/Unf Landscape or Planning Inspection <br /> Type of Construction V- needed before final? Yes No <br /> Existing Sprinkler System?Yes_ No V/Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No ✓ Phone#: ,� <br /> Reason / Approved b l '1 �' Date:1_0111e <br /> _0111e <br /> ,/ <br /> Existing Fire Alarm Yes_ No Unk_ Historic Approved by: ' Date: <br /> Fire Alarm Required Yes_ No / School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Req'd Yes #of Net New Units: <br /> Deferred SubmitI Re 'd Yes No_ <br /> Approved by: kA <br /> Date: `h s 9,)- t(f, Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> --oda I Le co+ <br /> FEES PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By: Date: 3-2.S—hog <br /> Surcharge Comments: No pwexave/tzuld/dieers <br /> Additional Plan Check <br /> Plumbing FeeE1E / <br /> hrkekse <br /> Mechanical Fee JRA) U <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 t i/ - j if- <br /> Traffic Mitigation Fee /V r ( ,( <br /> Public Works Fee System Dev. Fee? Traffic Miti ation Fee? <br /> School Mitigation Fee JI � <br /> /v <br />