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'8c1(3 ©c5 <br /> FOR OFFICE USE ONLY 112 <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 3/0 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> 1 <br /> VALUATION t 1$Li 0 Nonresidential Use (f I LA jam/ CAA)C2 <br /> No. of Stories /' 1( Residential Use <br /> Occupancy Group v Proposed No. of Dwelling Units: <br /> Occupant Load t Total No. of Dwelling Units: <br /> Basement Yes_ No ✓Fin/Unf Landscape or Planning Inspection <br /> Type of Construction V ' needed before final? Yes Nox <br /> Exstg Sprinkler System? Yes No Unk_ Planning Inspector: <br /> Fire Sprink Reqd? Yes No / Phone#: <br /> Reason Approved by � 7 <S Date: 10 • 4 <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 (RCW 5) Yes No / #of Net New Units: <br /> Approved by: Date: 1 0 .41) ) Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: fi_s7 Ack,2 I LAC <br /> SAM€ S t 7.+ -f-Yj <br /> FEES <br /> Plan Check Fee <br /> Building Permit <br /> Surcharge <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 Rcpt# <br /> School Mitigation Fee <br /> 2 <br />