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ISO l -C)lZ <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bld %TI ddn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use c Lt('4 (C-- <br /> No. <br /> LNo. of Stories Residential Use <br /> Occupancy Group �? Proposed No. of Dwelling Units: <br /> Occupant Load J 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 V' Unk Planning Inspector: <br /> Fire S rink Re d? Yes No Phone#: <br /> Reason Approved by: - Date: <br /> Exstg Fire Alarm? Yes_ No Unk_ Historic Approved by: Date: <br /> Fire Alarm Re d? Yes No '� School Mitigation Re d? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure (R#464.55) Yes No #of Net New Units: <br /> Approved b Date: Calculated School Impact Fee: <br /> Comment School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <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 /> 2-j <br /> j2— <br />