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� - ��T# G i l����.�;�z <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/T Ad /Rem Size /7� S� Zoning Classification <br /> Garage Size �X/ST�G l7� Overlay/Agreement <br /> VALUATION /� S�lvc> Nonresidential Use <br /> Number of Stories � Residential Use <br /> Occupancy Group � Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes NoX Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No <br /> Existing Sprinkler System?Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by. Date: <br /> Existing Fire Alarm Yes No Unk Historic Approv d by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Req'd Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No <br /> Approved by: Date: � /Cv Calculated School Impact Fee: <br /> Comments: Z J�L l�� �J �s�L 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 Mitiqation Fee? <br /> School Mitigation Fee <br /> Z(� <br />