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g ISOs - cos <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 1 L 1 3 Zoning Classification M,_\ <br /> Garage Size Overlay/Agreement PDC.- PNez G1f-p <br /> 1 -003 <br /> VALUATION Nonresidential Use <br /> No. of Stories 1 Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load ` '7_ Total No. of Dwelling Units: <br /> Basement Yes_`�No> in/Unf Landscape or Planning Inspection <br /> Type of Construction VI\ needed before final? Yes No <br /> Exstg Sprinkler System? Yes `/ No Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes `--- No Phone#: <br /> Reason £' Sr( Approved by: cv Date:5// 20/5 <br /> Exstg Fire Alarm? Yes" No Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes ` No_ School Mitigation Reqd? Yes No_ <br /> Reason Ex 5 re . Everett School Dist Mukilteo School Dist <br /> Enclosure (R 64.55) Yes No c./ #of Net New Units: <br /> Approved by On Date: 5 - / _ / ,S Calculated School Impact Fee: <br /> Comment . School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> kv Ce'v`Q --t L <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 /> Z <br />