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FOR OFFICE USE ONLY S CA -053 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories 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 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 Everett School Dist Mukilteo School Dist <br /> Enclosure(RCW64.55) Yes Y No #of Net New Units: <br /> Approved by: r I Date: 5/��� ( Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Le it n, A wait 0 Total School Impact Fee Owed: <br /> FP-411%-- (140tVe OetiT Comments: <br /> (Ns? ect da- to c_.1CL1 <br /> �(-0 t J1(, fI)/ht--t/" t <br /> Pti�,(- z° N� ttir(4/(Cr(•-)1 <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 /> 0/2 <br /> a/3 <br />