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tY\1,5 C�✓04E <br /> FOR OFFICE USE ONLY <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 qr Planning Inspection:.; <br /> Type of GonstructiQn,, •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(RC 64.55) Yes_ No #of Net New Units: <br /> Approved by. IA Date: 65_,?-7_,s- Calculated School Impact Fee: <br /> Comments' School Impact Fee Credit <br /> Total School Impact Fee Owed: <br /> Comment <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 /> • <br /> • 2,/2 <br />