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k L,c) a ._at2_ <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size ,4 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION a pi;'l A^ Nonresidential Use <br /> No. of Stories d1/ 'f cloold Residential Use <br /> Occupancy Group .L� Proposed No. of Dwelling Units: <br /> Occupant Load blikE• Total No. of Dwelling Units: <br /> Basement Yes_ No Fin/Unf Landscape or Planning Inspection <br /> Type of ConstructionZ:r J3 needed before final? Yes T No <br /> Exstg Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes.0 No Phone#: <br /> Reason / Approved by: Date: <br /> Exstg Fire Alarm? Yes No Lin* Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes No School Mitigation Reqd? Yes, No <br /> Reason (44th! Everett School Dist Mukilteo School Dist <br /> Enclosure(RCW64.55) Yes ,_ No__a _ #of Net New Units: <br /> Approved by: L. Date: a7vc,//L Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: • <br /> Comments: I (/ n y am'1\-A4,061 A_ l <br /> 21[ 7116' <br /> FEES CR) <br /> Plan Check Fee - <br /> Building Permit <br /> Surcharge V"C) jt-Y �ftill� <br /> Additional Plan Check <br /> Water , Z 19 <br /> Sewer <br /> Systems Dev. Due? Yes No <br /> Systems Dev. Fees <br /> Public Works <br /> Traffic Mitigation Due? Yes No Rcpt# <br /> School Mitigation Fee <br /> '1r <br />