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• •nnir��J1/15/_L-S�v h <br /> �l9 ��clts !�r <br /> FOR OFFICE USE ONLY �� ,� _15. <br /> BUILDING ,� � PLANNING � • <br /> 61dg/T�/Addn/Rem Size ^�� Zoning Classification <br /> 6arage Size Oveday/Agmement � <br /> VALUATION Nanresidenli�l Use � <br /> No. of Slories Residential Use <br /> Occupancy Group Propased Ne. of Owelling Units <br /> Ocaipant Load Total No. of Owelling Units: <br /> Basement Yes No FinNnf Landscape or Planning Inspection / <br /> Type of Construction nceded heforc ftnal7 Ycs_ No V <br /> Exst9 Spnnkier System? Yes No Unk Planning Inspectar. — <br /> Fire Spnnk Reqd? Yes No Phonc it: <br /> Reason Appr Date: � Qq � <br /> Exstg Fire Alarm? Yes No Unk __ Hfstoric Approved by: Date: <br /> Pire Alarm Reqd? Yes No School N,itigation Reqd? Yes__ No� <br /> Reasan Everett School Dist Mukilieo School Dist __ <br /> Enclosure (RCW64.55) Yes___ No t.of Net New Units: <br /> Approved by: Date: Calculated School Impact Fee: <br /> Comments: School Impact Fee Credif. <br /> Total School Impact Fee Owed� <br /> Comments: m�N (�m, \�, ,� W�'/ 'j, <br /> V�IZ15- �D�,`" a <br /> FEES . • PUBLIC WORKS ' <br /> Plan Check Fec PW Permit ftequired? Ye. _ Na <br /> Building Permit Intakc Chec4ed By: Date� _ <br /> Surcharge CommeMs: <br /> Additinnal Plan Chcr.k <br /> PWmbin� Pee <br /> t�lechanic:d Fee <br /> Plnc� �Id� Review Fee � <br /> bVater Fee (Fees: Yes/No, Explanation, Permit l!'s,f7mounQ <br /> Sewer Fee Water F�e7 Sewer Fee� <br /> Syslems Dev. Fee <br /> Traffic Miiigation Fee <br /> Public NPorks Fee Svslem Dev. Pee? Treffic titiliqation Fee? <br /> Sr.hool ft4iligation Fee <br /> �l �-- <br />