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FOR OFFICE USE ONLY "1 (5-47-00 <br /> BUILDING PLANNING <br /> Bldg/Tl/Addn/Rem Size ( (The' .Sf Zoning Classification CLI\W\ <br /> \ <br /> Garage Size Overlay/Agreement <br /> VALUATION 3j00 Nonresidential Use <br /> No. of Stories i Residential Use f <br /> Occupancy Group 'R Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes x No_Fin/61)ALandscape or Plannin spection <br /> Type of Construction ZE needed befor nal? Yes_ No_ <br /> Exstg Sprinkler System? Yes No Unk Planning Spector: <br /> Fire Sprink Reqd? Yes_ No_ Phone#: <br /> Reason Approved by:C:z- � Date: 4-(fMf( <br /> 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 Mukilteo1Dist <br /> Enclosure (RCW64.55) Yes_ No_ #of Net New Units: <br /> Approved by: Date: Calculated Scho mpact Fee: <br /> Comments: p12 //LL I Wn6G School I ct Fee Credit: <br /> /� T Total School Impact Fee Owed: <br /> c• 'P'�° �'2 TF , <br /> . comments: <br /> 4\o `N.QkQL ,re vNlrJZ A <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Review Required? Yes No <br /> Building Permit Reviewer: Date: <br /> Surcharge Comments: <br /> Additional Plan Check <br /> Water <br /> Sewer <br /> Systems Dev. Due? Yes No <br /> Systems Dev. Fees <br /> Public Works <br /> Traffic Mitigation Due? Yes No <br /> School Mitigation Fee <br /> 2/z- <br />