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� X563 - Qr� <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bld /TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No.of Stories Residential Use <br /> Occupancy Group - 2 Proposed No.of Dwelling Units: <br /> Occu ant Load NA Total No.of Dwelling Units: <br /> Basement Yes No in/ Landscape or Planning Inspection <br /> Type of Construction Le.A needed before final? Yes No <br /> Exstg Sprinkler System? Yes ✓ No Unk Planning Inspector: <br /> Fire S rink Re d? Yes --Io' No Phone#: <br /> Reason . Approved by: Date: <br /> Exstg Fire Alarm? Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Re d? Yes / No School Mitigation Reqd? Yes No <br /> Reason A v(1 . Everett School Dist Mukilteo School Dist <br /> Enclosure RC 64.55 Yes No #of Net New Units: <br /> A roved b Date: 3 Calculated School Impact Fee: <br /> Commentj. School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <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 /> 2�y <br />