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FOR OFFICE USE ONLY C [50c-� p03 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size /9S13 Jf Zoning Classification <br /> Garage Size 3 B 5,F Overlay/Agreement <br /> VALUATION 2 g6 572 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_ 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 Sprink Reqd? Yes No_ Phone#: <br /> Reason Approve. • : ,4 J Date: Y (S (/ <br /> Exstg Fire Alarm? Yes No_Unk_ Historic Appr• e: by: Date: JJ <br /> Fire Alarm Reqd? 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 /> Approved by: Date: ¢/‘71s Calculated School Impact Fee: <br /> Comments: 20/2- /WC <br /> 14/SiG School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <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�y <br />