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FOR OFFICE USE ONLY 5 ` D 'Q`4,3 <br /> BUILDING PLANNING <br /> Bldg TI ddn/Rem Size J3(o Zoning Classification - <br /> Garage Size Overlay/Agreement <br /> VALUATION Sec Totort Nonresidential Used r t (ei/4 ,r' <br /> No. of Stories l Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load a" Total No. of Dwelling Units: <br /> Basement Yes No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction V A needed before final? Yes No <br /> Exstg Sprinkler System? Yes X No Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes )C No Phone#: <br /> Reason �i=ut St OSS Approved by:J./10 Date: ID/2 H I j5 <br /> Exstg Fire Alarm? Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes X No School Mitigation Reqd? Yes No <br /> Reason 1-EUt S itv.,I Everett School Dist Mukilteo School Dist <br /> Enclosure(RCW64.55) Yes No)Q #of Net New Units: <br /> Approved by: /1Alk Date: 11 3O /(S Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> nrt fc 1-I m 4 c0/z6k <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Review Required? Yes No <br /> Building Permit Reviewer: 2k-ig Date: // /- /S <br /> Surcharge Comments: hof <br /> �ic� J��rs�i� /ee <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_'2_ <br />