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r <br /> FOR OFFICE USE ONLY t5'D —0 53 <br /> BUILDING PLANNING <br /> BI.'• \Addn/Rem Size (0066 Sc Zoning Classification <br /> Garage Size v Overlay/Agreement <br /> VALUATION 13 So, Oa° Nonresidential Use <br /> No. of Stories nn� Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load C00 Total No. of Dwelling Units: <br /> Basement Yes_ No)/ Fin/Unf Landscape or Planning Inspection <br /> Type of Construction U-4 i—A needed before final? Yes No <br /> Exstg Sprinkler System? Yes )4 No Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes )0 No Phone#: <br /> Reason REV\)100 Approved by: Date: <br /> Exstg Fire Alarm? Yes?C No Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes <br /> 1('' No School Mitigation Reqd? Yes No <br /> �n <br /> Reason 1'''-v►S16/S Everett School Dist Mukilteo School Dist <br /> Enclosure(RCW64.55) Yes No #of Net New Units: <br /> Approved by: AIR Date: A/3 Q,�� Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> cpp.-0 C-Leyt-3 (N W��Z Total School Impact Fee Owed: <br /> \."/(1..i0 a� .{� 0-tip e Comments: <br /> (07C) <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Review Required? Yes No <br /> Building Permit Reviewer: Date: <br /> Surcharge Comments: <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 />