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&IT# <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 2/9 �{ f Nonresidential Use <br /> No. of Stories 1n Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: 1 �� <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction F needed before final? Yes v No_ <br /> Exstg Sprinkler System? Yes_ No_Unk_ Planning Inspector: �Z 'C Q;� <br /> Fire Sprink Reqd? Yes No Phone#: _71!5 — <br /> Reason Approved b Date:`/ <br /> I Ila 111,2 <br /> Exstg Fire Alarm? Yes_ No_Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes_ No_ School Mitigation Reqd? Yes_ No (r" 1 G }�1, f <br /> Reason Everett School Dist Mukilteo School Dist l J <br /> Enclosure(RCW64.5 ) Yes No #of Net New Units: <br /> Approved by: Date:3 /S'/lo Calculated School Impact Fee: <br /> Comments: e WS,EG School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> 'how SMVA 041 map <br /> •�2�I�I1�n50�� <br /> FEES PUBLIC WORKS <br /> Plan Check Fee 4, Se. • & PW Permit Required? Yes No <br /> Building Permit Intake Checked By: Date:2-/6'/6 <br /> Surcharge D Comments: <br /> Additional Plan Check '— <br /> Plumbing Fee t <br /> Mechanical Fee qD v <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes_No <br /> Water Fee Pte✓ (Fees: Yes/No, Explanation, Permit#'s,Amount) <br /> Sewer Fee 70 eZ Water Fee? Sewer Fee? <br /> Systems Dev. Fee lqwl-g J T&C -M <br /> C-10 <br /> Traffic Mitigation Fee � 2fU <br /> Public Works Fee System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee 061 <br /> ZC2 <br />