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FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> age Size PO 2GN 6 6 Overlay/Agreement <br /> VALUATION /9 23D Nonresidential Use (� <br /> No. of Stories / Residential Use F \� <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes NoiX Fin/Unf Landscape or Planning In .ection <br /> Type of Construction � needed before final? 'es No_ <br /> Exstg Sprinkler System? Yes_ No_Unk Planning Inspecto•. <br /> Fire Sprink Reqd? Yes_ No_ Phone#: <br /> Reason Approved by: cIz� 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 - ool Dist <br /> Enclosure (RCW64.55) Yes_ No_ #of Net New Units: <br /> Approved by: " Date: 6/2@c— Calculated School lmpac ee: <br /> Comments: 2012 iitc School Impact FeeC•-dit: <br /> Total School Impact Fee Owed: <br /> Comments: deo 4\ t C3 <br /> Su\u ce wotk, M \A.c ase <br /> sNvs,e, reivvet q CoA <br /> CS AP<GC`► CAN/Ce rk\ ZC mA C � a <br /> �ae� <br /> • <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 /> • <br /> School Mitigation Fee <br />