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FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No_Fin/Unf Landscape or Planning Inspection <br /> Type of Construction 5w-15, u P( A 4'- needed before final? Yes_ No_ <br /> Exstg Sprinkler System? Yes_ No Unk_ Planning Inspector: <br /> Fire Sprink Reqd? Yes_ No_ Phone#: <br /> Reason Approved by: Date: <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. Yh. Date: I •- 1 t-j - / (9 Calculated School Impact Fee: <br /> Comment School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <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 />