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PK_ T# I✓ ( �� � ' �l� <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size '"f Zoning Classification <br /> 43-2- <br /> Garage <br /> Garage Size Overlay/Agreement nn <br /> VALUATION Nonresidential Use <br /> No. of Stories ) Residential Use <br /> Occupancy Group M Proposed No. of Dwelling Units: <br /> Occupant Load z Total No. of Dwelling Units: <br /> Basement Yes_ No ✓Fin/Unf Landscape or Planning Inspectio <br /> Type of Construction ✓ I3 needed before final? Yes No <br /> Exstg Sprinkler System? Yes_ No`� Unk Planning Inspector: IaAo <br /> Fire Sprink Reqd? Yes_ No i/ Phone#: 411 <br /> 5- <br /> Reason Approved Date: Z <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 /> Addntl Enc Dods Rqd? Yes No_ <br /> Approved by: Date: (P Calculated School Impact Fee: <br /> Comment School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: (y_VVNpl-� wl "--T I5._0ID <br /> FEES PUBLIC WOR <br /> Plan Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By: Date: �- - <br /> Surcharge Comments: <br /> Additional Plan Check n� ,y- <br /> Plumbing Fee r <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 ^ rb tic <br /> Traffic Mitigation Fee '" <br /> Public Works Fee System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee IJ <br /> 2_ <br />