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b ( <br /> FOR OFFICE USE ONLY <br /> BUILDING L _ PLANNING 1 <br /> Bldg/TI/Addn/Rem Size 8 'C Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION �� ( Nonresidential Use <br /> No. of Stories Residential Use SV <br /> Occupancy Group 5 t I\ Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes No _Fin/Unf_ Landscape or Plannin. .on <br /> Type of Construction Of -- 13 needed before final? es_ No <br /> Exstg Sprinkler System? Yes No Unk Plarrrrtrrg inspector: <br /> Fire Sprink Reqd? Yes No / rtrorre-#: <br /> Reason Approved by:Gd Date: l 0/0S <br /> Exstg Fire Alarm? Yes_ No Unk_ Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes No / School Mitigation Reqd? Yes • <br /> Reason / Everett School Dist • ilteo School Dist <br /> Enclosure(R 64.55) Yes_ No___ #of Net New Uni : <br /> Approved •j, Date:( <br /> O - 9 - ( Calculat-• chool Impact Fee: <br /> Comments: • ool Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Review Required? Yes No <br /> Building Permit Reviewer: ��F Date: /0-- ?.DA's <br /> Surcharge Comments: �/ <br /> Additional Plan Check No P PF iS <br /> Water <br /> Sewer -No diziAt J E "cysts'. <br /> Systems Dev. Due? Yes No 17€,W Si746 <br /> Systems Dev. Fees /f� �j��o <br /> Public Works "' e'L L �y� <br /> Traffic Mitigation Due? Yes_ No_ v <br /> School Mitigation Fee <br />