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FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg1fl/Addrm Size atot Zoning Classification if< <br /> Garage Size — Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories Residential Use S <br /> Occupancy Group 1" Proposed No. of Dwelling Units: <br /> Occupant Load /"' ' Total No. of Dwelling Units: <br /> Basement Yes_ No_Fin/Unf Landscape or Planning Ins on <br /> Type of Construction U 6 needed before final? es No_ <br /> Exstg Sprinkler System? Yes_ No /0 Unk_ Planning Ins or: <br /> Fire Sprink Reqd? Yes_ No ) Phon . <br /> Reason Approved by: Date: L-` ' <br /> Exstg Fire Alarm? Yes_ No)0 Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes_ No K School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilt-= chool Dist <br /> Enclosure(RCW64.55) Yes_ No.41; #of Net New Units: <br /> Approved by: n/1 4- Date: 7/7-1-„/I s Calculated Schoo pact Fee: <br /> Comments: /Z't`,1E w,2r0 y J -41'n!} School Imp-• Fee Credit: <br /> / Total • ool 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 />