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FOR OFFICE USE ONLY P1, S L6 - 0 3 J <br /> BUILDING //�� PLANNING <br /> Bldg/TI/Addn/Rem Size /v A Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No.of Stories 3 Residential Use <br /> Occupancy Group - Proposed No.of Dwelling Units: <br /> Occupant Load /✓� Total No.of Dwelling Units: <br /> Basement Yes_ No✓in/Unf Landscape or Planning Inspection <br /> Type of Construction V - A needed before final? Yes No <br /> Exstg Sprinkler System? Yes_ No Unk_ Planning Inspector: <br /> Fire Sprink Reqd? Yes No ✓ Phone#: <br /> Reason Approved bb Date:G • 9,G •l 4/" <br /> Exstg Fire Alarm? Yes— No Unk V Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes_ No✓ School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure(RC //6,,4.55) Yes_ No #of Net New Units: <br /> AN Approved b . n Date: (i - L- /Jr Calculated School Impact Fee: <br /> Commen : 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 /> 212 <br />