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1 <br /> FOR OFFICE USE ONLY m 5 to --C>�-3 <br /> BUILDING PLANNING <br /> Bld /TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories Residential Use <br /> Occupancy Group Pro osed No. of Dwelling Units: <br /> Occu ant 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 S rink Re d? Yes No Phone#: <br /> Reason Approved by: Date: <br /> Exstg Fire Alarm? Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Re d? Yes No School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure RCW64.55 Yes No #of Net New Units: <br /> App roved by: /WVk Date: 10 ok Calculated School Impact Fee: <br /> Comments: Pc%)-3 13, 311 0A <br /> School Impact Fee Credit: <br /> � Total School Impact Fee Owed: <br /> Comments: <br /> u,"P+NLIs ,hN 0 <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 /> �Z <br />