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t,�j6[(;5W-0D( <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bid 71ddn/Rem Size ;*0 4 Zoning Classification -� <br /> Garage Size Overlay/Agreement <br /> VALUATION y 0 n Nonresidential Use <br /> No. of Stories ( Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load 3 Total No. of Dwelling Units: <br /> Basement Yes_ NoA Fin/Unf_ Landscape or Planning Inspection <br /> Type of Construction V d needed before final? Yes No <br /> Exstq Sprinkler System? Yes A No Unk Planning Inspector: <br /> Fire S rink Re d? Yes A No Phone#: <br /> Reason NkW c le k u mL-, Ap roved b : ° Date: <0 5 <br /> Exstg Fire Alarm? Yes A No Unk Historic Approved by: Date: <br /> Fire Alarm Re d? Yes No School Mitigation Re d? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure RCW64.55 Yes No #of Net New Units: <br /> Approved by: Date: 7 (Z I Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> o,V\. <br /> FEES <br /> Plan Check Fee <br /> Building Permit <br /> Surcharge <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 Rcpt# <br /> School Mitigation Fee <br />