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SIT# <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> BldgiTl/Addn em ize Zoning Classification <br /> Garage Size Qverlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories I Residential Use <br /> Occupancy Group Proposed No.Qf Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No Fin/Vnf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No_ <br /> Exstg Sprinkler System? Yes— NQ_Unk— Planning Inspector: <br /> Fire Sprink Reqd? Yes_ No— Phone#t: <br /> Reason Approved ly Date: <br /> Exstg Fire Alarm? Yes No Unk Historic Appro e b . Date: <br /> Fire Alarm Reqd? Yes— No_ School Mitig ion Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure (RCW64.55) Yes— No_ #of Net New Units: <br /> Addntl Enc Doc's Rqd?,Yes—; No— <br /> Approved by: Date: /( f G Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> 2011_ IACI <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 /v z' 0i NCS <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes—No <br /> WaterFee (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 QW Fee? Traffic Mi' ation Fee? <br /> School Mitigation Fee <br /> 94 a <br />