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• • <br /> 6itoo3-o2q <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 1 0) 121 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories NA Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load I ' CD Total No. of Dwelling Units: <br /> Basement Yes_ No_'Fin/U"rif Landscape or Planning Inspection <br /> Type of Construction // — /4 needed before final? Yes' fVo <br /> Exstg Sprinkler System? Yes �No Unk Planning Inspector: <br /> Fire Sprink Reqd? ` ' ' Yes..! "No_ Phone#: <br /> Reason . ., EgAr4-4, Approved by: . 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 iD(J 1-Li EveretSchool Dist ,Mu.kilteo;School Dist_a <br /> Enclosure(R 64.55) Yes No ./ #of Net New Units: <br /> Approved .y: Date: _ {J _ I ` . Calculated School Impact Fee: <br /> Corn • ts. School Impact Fee Credit: <br /> Total School Impact Fee.Owed; <br /> Comments: eWe4 <br /> )) reh <br /> F✓ 3 9//(v <br /> FEES 1jl'� ay*S <br /> Plan Check Fee <br /> • <br /> Building Permit NOT €6 Ui' <br /> Surcharge <br /> Additional Plan Check Oil‘ <br /> Water .l+ <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 /> 212 <br />