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IT# <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential UseCM 5a, <br /> No. of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes No Fin/Unf Landscape or Planning Ins ction <br /> Type of Construction needed before final? Yes_ No_ <br /> Exstg Sprinkler System? Yes No Unk_ Planning Inspeod1r,: <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 Sc Dist <br /> Enclosure (RCW64.55) Yes No_ #of Net New Units: <br /> Addntl Enc Doc's Rqd? Yes_ No <br /> Approved by: Date: lJoIA-Zlt, Calculated Sch Impact Fee: <br /> Comments: School I ct Fee Credit: <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 /> 2�Z <br />