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• • <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> — <br /> Bldg/TI/Addn/Rem Size I , Zoning Classification ,---1 <br /> i� ,. <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use COMMyn-ij(I( <br /> No. of Stories r�I Residential Use -- <br /> Occupancy Group p Proposed No. of Dwelling Units: <br /> Occupant Load 4 9 Total No. of Dwelling Units: <br /> Basement Yes_ Noin/Unf Landscape or Planning Inspection <br /> Type of Construction `\,! — 13 needed before final? Yes No <br /> Exstg Sprinkler System? Yes No V Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes No V Phone#: <br /> Reason Approved by: o� Date: Sha` <br /> Exstg Fire Alarm? Yes No UnkV' Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes No / School Mitigation Reqd? Yes No <br /> Reason Everett School Dist ukilteo School Dist <br /> Enclosure(R 64.55) Yes No ti` #of Net New Units: f <br /> Approved by: /ha Date: 3 - i b - 1 ? Calculated S of Impact Fee: <br /> Comment ' School I pact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> P.,,,zNI c_swv\eviers,..z., <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 />