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C 1 50 3 - G�9 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size //?,S 5h Zoning Classification <br /> Garage Size g72 . . Overlay/Agreement <br /> VALUATION 2 2.5-, 171 Nonresidential Use <br /> No.of Stories Z Residential Use <br /> Occupancy Group eql? 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 e needed before final? Yes_ No <br /> Exstg Sprinkler System? Yes_ No Unk! Planning Inspector: <br /> Fire Sprink Reqd? Yes No_ Phone#: <br /> Reason A.•roved /] •-e: <br /> Exstg Fire Alarm? Yes No_Unk_ Historic Appr,, ed by Date: <br /> Fire Alarm Reqd? Yes_ No_ School Mitigation R-qd? Yes— No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure(RCW64.55) Yes_ No #of Net New Units: <br /> Approved by: c4}— Date: 3/07/5 Calculated School Impact Fee: <br /> Comments: ZO/L 41)S6e 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 iy <br />