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FOR OFFICE USE ONLY I LA -05G <br /> BUILDING PLANNING <br /> BldgM/Addn/Rem Size v 5 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories Residential Use C <br /> Occupancy Group 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 - 13 needed before final? Yes Novi <br /> Exstg Sprinkler System? Yes No ✓Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes No ✓ Phone#: <br /> Reason Approved by: Date: L <br /> Exstg Fire Alarm? Yes_ No_Unk_ Historic Approved by: - Date: y-- <br /> Fire Alarm Reqd? Yes No / School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure(R W .55) Yes No_� #of Net New Units: <br /> Approved by: Date: Z 12, -0 G - Calculated School Impact Fee: <br /> Comme' - School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> A'vutiL.�^�„ <br /> w <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 />