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FOR OFFICE USE ONLY St c z —oc <br /> 2-i 30 © r <br /> BUILDING PLANNING <br /> Bldg/Tl/Addn/Rem Size Zoning Classification `"r <br /> Garage Size Overlay/Agreement `�— <br /> Cv, <br /> VALUATION Nonresidential Use 6i 1, <br /> No.of Stories Residential Use -OD k <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 needed before final? Yes No <br /> Exstg Sprinkler System? Yes No Unk Planning Inspector: ----- <br /> Fire Sprink Reqd? Yes_ No_ Phone#: 1 <br /> Reason - Approve b : Date:1Q 5j I �# <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: ✓ Date:R -`1 - 1-4 Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: ..------- <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 /> 1`2 <br />