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P 1T# ( �9 c _ 0o� <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification — <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use v�,-QjC � <br /> No. of Stories Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes No Fin/Unf Landscape or Planning I <br /> nstion <br /> Type of Construction needed before final? _ No_ <br /> Exstg Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes_ No— Phone#: <br /> Reason Approved by: .� Date: 2 Z t(Q <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 Muki1teo School Dist <br /> Enclosure (RCW64.55) Yes No #of Net New Units: i <br /> Addntl Enc Do s Rqd? Yes No— <br /> Approved <br /> o_Approved by: /v Date.)- �' Calculated Sc of Impact Fee: <br /> Comments: School Imp t Fee Credit: <br /> Total School Impact Fee Owed: ��II <br /> Comments: tJ,,Ar = -t- c,cz Czf <br /> FEES PUBL C W 6 RKS <br /> Plan Check Fee PW Permit Required? Yes No V <br /> Building Permit Intake Checked By: Date: <br /> Surcharge Comments: <br /> Additional Plan Check <br /> Plumbing Fee <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 <br /> Traffic Mitigation Fee <br /> Public Works Fee System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee <br /> -1 L <br />