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r��rl►T# I'3I �0�-055 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> i <br /> Bldg/TI/Addn/Rem Size (p(7 zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidpntial Us_e <br /> No. of Stories z Residential Use _ <br /> Occupancy Group - Z Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes No_Fin/l of Landscape or Planning Inspection <br /> Type of Construction v- P 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 (RCW 4.55) Yes_ No— #of Net New Units: <br /> Addntl Enc Doc' ? Yes_, No v <br /> Approved b ffi Qate: _ ► te Calculated School Impact Fee: <br /> Comments: ; School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By: Date; <br /> Surcharge Comments: <br /> Additional Plan Check <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes_No <br /> Water Fee (Fees:Yes/No,Explanation, Permit#'s,Amount) <br /> Sewer Fee Water Fee? Sewer Fee? <br /> Systems Dev. Fee <br /> Traffic Mitigation Fee <br /> Public Works Fee System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee <br />