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i'-.16 nAIT# ���� I <br /> FOR OFFICE USE ONLY <br /> BUILDING N PLANNING ; '¢ <br /> • Bldg/TI/Addn/Rem Size 1 3 a O Zoning Classification <br /> / <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use , <br /> No.of Stories ft Residential Use <br /> Occupancy Group — I /�3 Proposed No.of Dwelling Units: <br /> Occupant Load c� Total No.of Dwelling Units: <br /> Basement Yes_ No `/Fin/Unf Landscape or Planning Inspection <br /> Type of Construction \\\— \3 needed before final? Yes No <br /> Exstg Sprinkler System? Yes V No_Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes V No Phone#: <br /> Reason C,,-4 Approved by: Date: - <br /> Exstg Fire Alarm? Yes V o Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes f/ No School Mitigation Reqd? Yes No <br /> Reason 1 Everett School Dist Mukilteo School Dist <br /> Enclosure (RC 64.55) Yes No #of Net New Units: <br /> Approved by Date: ) - j`j- / i Calculated School Impact Fee: <br /> Comment : School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: i <br /> A-)° /11/1"-> 4v, L� cL <br /> -4/1/ 141(/)' <br /> FEES PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No X` <br /> Building Permit Intake Checked By: �� Date: /, a 9-/S <br /> Surcharge Comments: <br /> Additional Plan Check <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bldg Review Fee <br /> Water Fee (Fees:Yes/No, Explanation, Permit#'s,Amount) <br /> Sewer Fee Water Fee? Sewer Fee? <br /> Systems Dev. Fee 1 <br /> Traffic Mitigation Fee <br /> Public Works Fee System Dev. Fee? di,. Traffic Mitigation Fee? iii9tr <br /> School Mitigation Fee iaare kJSe Its j-- pv�C� .B_ <br /> L //vafe hozz e le <br /> • <br /> 2-(2_- <br />