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r������T# � ����'�) � I <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size �1/�� Zoning Classification <br /> Garage Size � � Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories 2 Residential Use <br /> Occupancy Group t����� Proposed No. of Dwelling Units: <br /> Occupant Load 1'�� Total No. of Dwelling Units: <br /> Basement Yes_ No�Fin/l;nf Landscape or Planning Inspection <br /> Type of Construction /� !3 needed before final? Yes No <br /> Exstg Sprinkler System? Yes No Unk Planning 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 Mukilteo School Dist <br /> Enclosure(R 64.55) Yes No � #of Net New Units: <br /> Approved b : Date: - /�— / � Calculated School Impact Fee: <br /> Comme s: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> ,�sz_��,_ss,�,� .aea� --___,.___.,..,� _—a�--— �� ��.� __��:�._.-__,,._ _ <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 />