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I* �ao - <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bld /TI/Addn/Rem Size Zoning Classification <br /> Eamw Size 0,5 S 1 4 Overlay/Agreement <br /> VALUATION ] Nonresidential Use <br /> No. of Stories I Residential Use <br /> Occupancy Group (A Proposed No. of Dwelling Units: <br /> Occu ant 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 S rink Re d? Yes No Phone#: r <br /> Reason Approved. _._b : Bate: 2 `�! <br /> Exstg Fire Alarm? Yes No Unk Historic Approved b Date: <br /> Fire Alarm Re d? Yes No School Mitigation Re d? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure RCW64.55 Yes No #of Net New Units: <br /> Approved b : -� Date: 2 Z S Calculated School Impact Fee: <br /> Comments: 2 012 /Z C_ <br /> School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> S-7/>�1 2 S Comments: <br /> c i <br /> I2i(-AIL G�c-k STai�S <br /> .Z <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Review Required? Yes No <br /> Building Permit Reviewer: Date: <br /> Surcharge Comments: <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 <br /> School Mitigation Fee <br /> ZlZ <br />