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FOR OFFICE USE ONLY <br /> BUILDING I [ PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification rb <br /> Garage Size Overlay/Agreement <br /> • <br /> VALUATION Nonresidential Use S o v <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 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 Approved by: i Date: ‘G \S5- <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 (RCW64.55) Yes No_ #of Net New Units: <br /> Approved by: /1111-H Date: L 0/21 J 15' Calculated School Impact Fee: ' <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: _ <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 />