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� � <br /> � � �c�—cd� <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bid !TI/Addn/Rem Size Zoning Classification • ' <br /> Garage Size . Overiay/Agreemenl <br /> VALUATION � Nonresidential Use , <br /> No.of Slories. ' Residential Use <br /> Or.cupanc Group Proposed No. of Dwellin Units: <br /> Occupant Load Totat No.of Dwelling Units: <br /> Basement Yes No Fin/Unf Landscape or Planning Inspection <br /> Type oi Construction needed b¢fore Fina17 Yes No <br /> ,. ; eastg�prinkier system? Yes_ No_Unk Plannin Ins ector. <br /> Fire Sprink Reqd? Yes No Phone#: <br /> Reason Ap roved by: Date: <br /> Exstg Fire Alarm? Yes_ No_Unk_ Historic Approved b : Date� <br /> Fire Alarm Reqd? Yes_ No_ School Mitigation Reqd? Yes No <br /> Reason Everett School Oist_ Mukilteo School Dist <br /> Enclosure(RCW64.55) Yes_ No #of Net New Units: <br /> Approved by: • ' Oate: . - Calcuialed School Irti act Fee: - <br /> Comments: School Impact Fee Cre,dit: <br /> . Total School Impacl Fee Owed: <br /> Comments: <br /> Nb s��A r�b, <br /> '�/d r��-rv �'e�� � <br /> FEES <br /> Plan Check Fee <br /> Buildin Permit <br /> Surcharge <br /> Additional Plan Check <br /> Water <br /> Sewer <br /> S stems Dev. Due? Yes No <br /> Systems Dev. Fees <br /> Pubiic Works <br /> TraKc Mitigation Due? Yes No Rcpt# �Z <br /> School Mitigation Fee <br />