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. [W IT# <br /> 6U) NOOq-001 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/T Addn/ em Size c7,PS Zoning Classification <br /> Garage Size Overlay/Agreement �— <br /> VALUATION 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_ No XFln/Unf Landscape or Planning Inspection / <br /> Type of Construction needed before final? Yes No V <br /> Existing Sprinkler System?Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> Reason Approved Date: rJto <br /> Existing Fire Alarm Yes No Unk Historic Approved 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: 1,-2-1414 0 Calculated School Impact Fee: <br /> Comments: 2012 4016C School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> �l-Ices our or 5 OAU <br /> leo �, PIGEoli coop <br /> FEES PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By: fib' Date: <br /> Surcharge Comments: �j�li A,(XZi& <br /> Additional Plan Check �yiS %� sh.-.& Looms 'eS %�7�e9y <br /> Plumbing Fee oil .S?WC,- An,*1.7 <br /> Mechanical Fee lnlvc— <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 Mitigation Fee? <br /> School Mitigation Fee <br />