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ib%fig <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 3'Oi Gtr!2 Nonresidential Use <br /> No. of Stories Z Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes Z( No_Fin _of Landscape or Planning In ction <br /> Type of Construction 7g needed before fin . Yes No <br /> Exstg Sprinkler System? Yes_ No,Unk_ Planning Ins tor: <br /> Fire Sprink Reqd? Yes_ No_ Phone#: <br /> Reason Approved by:�l Date: V2-7� <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 Sch.: list <br /> Enclosure(RCW64.55) Yes_ No_ #of Net New Units: <br /> Approved by: cj ' Date._q/1/1/1-- Calculated School Impact Fe: <br /> Comments: 22 ' SQL kvseC School Impact Fee Cr-.it: <br /> Total School Impa 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 Check14 <br /> n <br /> Water Y <br /> Sewer 46111 <br /> Systems Dev. Due? Yes No A• 13 OOP <br /> Systems Dev. Fees 7J <br /> Public Works <br /> Traffic Mitigation Due? Yes No <br /> School Mitigation Fee <br /> 212, <br />