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FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 12c(-- Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories 13I Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load \ 2_ Total No. of Dwelling Units: <br /> Basement Yes_ No in/Unf Landscape or Planning Inspection <br /> Type of Construction V — JS needed before final? Yes No <br /> Exstg Sprinkler System? Yes No "'Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes No `" Phone#: <br /> Reason Approved by: Date: <br /> Exstg Fire Alarm? Yes_ No /Unk_ 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 (Rt✓ 4.55) Yes No_ #of Net New Units: <br /> Approve y: Date:! 0 —7—j,' Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: . <br /> no, re" fw" re6607- . <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 />