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� � <br /> 7`i �� �5 <br /> FOR OFFICi: USE ONLY g � S OCo -O Z.3 <br /> BUILDING P�ANNING <br /> Bld !TI/Addr.IRem S�ze Zornn ClaSsiGca6on <br /> Gara9e Size Overlay/Agreement <br /> VALUATION �7,��� Nonresitlenbal Use <br /> No ot Stones �50 ft \ionopolc Residential Use <br /> Occu anc Group �J PrOpOSCtl No oF Dwellinq Urits <br /> Occu ant Load Total No of D�velhna Un�ls <br /> Basemeni Yes_ No _ F�nlUnf_ Landscape or Planning Inspection <br /> Type of Construct�on W ireless �IOdification needed before final? Yes_ No_ <br /> E.si 5 nnkierS stem� Yes No Unk_ �'�anrnn InsOector <br /> Fue S nnk Re d� Yes No Phone# <br /> Reason A rovetl b Date $ Jr <br /> Exst Fve Aiarm� Yes No Unk Histonc A proved b Date <br /> F�re Alarm Re d� Yes No School Mit� ation Reatl� Yes No <br /> Reason Eve�ett School D�st Muk�lleo Schaol Dist <br /> EnUosure(RC 64 55 Yes No #of Net New Umts <br /> A roved b Date <br /> � Calculated Schoo� Im act Fee. <br /> Comments School Im act Pee Credd <br /> Tolal School Impact fee OwCtl <br /> CommeNs <br /> feP(�� ( c l� fv� I ik� <br /> /1p ;,w.z,�,�i h hei,7l�f <br /> FEES PUBLIC WORKS <br /> Plan C��eck Fee Rewew Re wred� Yes No <br /> BuJdin PermA Rev�ewer Dalc <br /> Surcher e CommPnts <br /> Adddronal Plan Check � <br /> Waler <br /> Sewcr <br /> 5 stems Dev Due� Yes No <br /> S stems Dev Fees <br /> Public Works <br /> ' T�affic Mdi atwn Due� Yes No <br /> School Miboation Fee <br /> �L . <br />