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4 <br /> 11T# ki)11 o2— V O <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> pECJ=S 630 S',/4: rc' o sf <br /> Cha Size /S'6 -sof e jS/SF Overlay/Agreement <br /> VALUATION 630,0 Nonresidential Use <br /> No. of Stories / Residential Use <br /> Occupancy Group U Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No X Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No <br /> Exstg Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes— No_ Phone#: • <br /> Reason Approv by: ' Date:3l/44(,_ <br /> Exstg Fire Alarm? Yes No Link Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes No School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure (RCW64.55) Yes No #of Net New Units: <br /> Addntl Enc Doc's Rqd? Yes No <br /> Approved by: cit. bate: sly//4, Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> 4.012_ //ZC ' <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By: Date: <br /> Surcharge Comments: <br /> Additional Plan Check <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes No <br /> Water Fee (Fees: Yes/No, Explanation, Permit#`s, Amount) <br /> Sewer Fee Water Fee? Sewer Fee? <br /> Systems Dev. Fee <br /> Traffic Mitigation Fee <br /> Public Works Fee System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee <br />