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FOR OFFICE USE ONLY <br /> BUILDING <br /> PIA <br /> Bldg/Tl/Add e , ize 120 Zoning Classification -v� <br /> Garage Size Overlay/Agreement <br /> VALUATION S2 O Nonresidential Use <br /> No.of Stories Residential Use S <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes No--Fin/Unf Landscape 2effinal?ng Inspection <br /> Type of Construction needed b Yes No <br /> Exstg Sprinkler System? Yes No Unk Pla ing 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 Mu ' chool Dist <br /> Enclosure (RCW64.55) Yes No— #of Net New Unit <br /> Approved by: '. Date: /(o Calculate chool Impact Fee: <br /> /zC T (�(JS Scho Impact Fee Credit: <br /> Comments: 20a / <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC.WQRKS <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 V1�� <br /> Ping Bldg Review Fee <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 />