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FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use C� <br /> No. of Stories 1� Residential Use <br /> Occupancy Group \, Proposed No. of Dwelling Units: <br /> Occupant Load 3 r Total No. of Dwelling Units. <br /> Basement Yes No in/ nf Landscape or Plannin spection <br /> Type of Construction — 13 needed before fin Yes_ No. <br /> Exstg Sprinkler System? Yes No✓ UUnk Planning Inspe r: <br /> Fire Sprink Reqd? Yes No_j/ Phone#: <br /> Reason Approifed by; Date: V2 SP( IS <br /> Exstg Fire Alarm? Yes_ No V�Unk_ Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes_ No School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukil School Dist <br /> Enclosure (RC)d64.55) Yes_ No_ #of Net New Units: <br /> Approved by: Date: Q a / Calculated School I act Fee: <br /> Comment School Impact Fee Credit: <br /> Total Schoo pact Fee Owed; <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Review Required?]Yes - No X <br /> Building Permit Reviewer: Date: /D- 28 /5- <br /> Surcharge <br /> SSurcharge .Comments: <br /> Additional Plan Check i,sSe <br /> Water L <br /> Sewer Wev, 7e'e <br /> Systems Dev. Due? Yes No <br /> Systems Dev. Fees <br /> Public Works <br /> Traffic Mitigation Due? Yes No <br /> School Mitigation Fee <br />