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( �OZ.D <br /> FOR OFFICE USE ONLY <br /> BUILDING/S� PLANNING <br /> Bldg/TI/Addn/Rem Size v/14" Zoning Classification Z- <br /> Garage Size — Overlay/Agreement <br /> VALUATION t9O)aco Nonresidential Use COOti `( TL-\ <br /> No. of Stories /A Residential Use <br /> Occupancy Group V Proposed No. of Dwelling Units <br /> Occupant Load Total No. of Dwelli its: <br /> Basement Yes_ No'1 Fin/Unf Landscape- r Planning Inspection <br /> Type of Construction /I1A before final? Yes_ No <br /> Exstg Sprinkler System? Yes_ No Un& Planning Inspector: <br /> Fire Sprink Reqd? Yes_ No I Phone#: <br /> Reason Approved by: Date: -2-A\ (S <br /> Exstg Fire Alarm? Yes_ No_Unk" Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes_ No Y School Mitigation Reqd? Yes o_ <br /> Reason Everett School Dist kilteo School Dist <br /> Enclosure(RCW64.55) 7 Yes No #of Net New Units: <br /> Approved by: rd yate: 071,,d/lig Calculated S b of Impact Fee: <br /> Comments: Schoo pact Fee Credit: <br /> T al School Impact Fee Owed: <br /> Comments: <br /> )C c �rw <br /> \la QQ,N\v/ucQ�,b <br /> S is % c C APS <br /> \e.. Qq\A 5o as k-3 Q_Ai, ‘1,VA <br /> FEES <br /> Plan Check Fee <br /> Building Permit <br /> Surcharge <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_ Rcpt# <br /> School Mitigation Fee <br />