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e,\t3-ofr <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 j^ 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#: , 2��j� <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(R W614.55) Yes_ No_ #of Net New Units: <br /> Approved b . /✓1/‘ Date:)0 -a 1 Calculated School Impact Fee: <br /> Comment . School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Review Required? Yes No \� <br /> Building Permit Reviewer: .EP Date: `f 7S^-s sets <br /> Surcharge Comments: <br /> Additional Plan Check NO Pu) 1f/u-rd- I d <br /> Water <br /> Sewer No 4 ,jU U17i tll/td <br /> Systems Dev. Due? Yes No ,'A� <br /> Systems Dev. Fees /1 6 1t 4( t <br /> Public Works <br /> Traffic Mitigation Due? Yes No <br /> School Mitigation Fee <br /> 2I2 <br />