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���11 - ���- 1 <br /> FOR OFFICE USE OIVLY . <br /> BUILDING PLANNIIVG <br /> Bldg�l"I/Addn/Rem 5ize Zoning Classification �� � <br /> Garage Size �j/(d Overlay/Agreemen# <br /> �— <br /> VALUATION Nonresidential Use <br /> No. of Stories Residential Use S f�� w (.'1Gtiv�'c' L <br /> Occupancy Group (� Proposed No. of Dweliing Units: — <br /> Occupant Load Total No. of Dweiling Units: � <br /> Basement Yes No Fin/Unf Landscape or Planning Inspection <br /> Type oT Constructi�n � � needed before final? Yes No_'v� <br /> Exstg Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes No Phone#: <br /> Reason Aa���.,A�_ ,� ��t�: 12 2 � . <br /> �• <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 5chool Dist Mukilteo School Dist <br /> Enclasure (RCW64.55) Yes_ No_ #of Net New Units: <br /> Approved by: Date_ Calculated School Impact Fee: ' <br /> Comments: �J�`Z /�� School Impact Fee Credit: <br /> L <br /> Total School Impact Fee Owed; <br /> Comments: � . <br /> ���r 111��`��� <br /> �C�����1���� ��� �0�512D2� � S� <br /> FEES PUSLIC WORKS <br /> Plan Check Fee Review Required? Yes No <br /> Building Permit Revfewer: Date: <br /> Surcharge Comments: <br /> Additional Plan Check <br /> Water <br /> Sewer <br /> Systems Dev. f]ue? Yes No , <br /> Systems Dev. Fees <br /> Public Works <br /> Traffic Mitigation Due? Yes No <br /> School Mitigation Fee <br /> � 1 <br /> � �' <br />