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I111R111IT# <br /> FOR OF'F'ICE USE ONLY <br /> BUILDING PLANNING <br /> s <br /> Bldg/TI/Addn/Rem Size �i' f` Zoning Classification <br /> Garage SizeOverlay/Agreement <br /> VALUATION 2, ? .,, Nonresidpn tial Use <br /> No. of Stories 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_ No—Unk— Planning Inspector: <br /> Fire Sprink Regd? Yes— No_ Phone#: <br /> Reason Approved Date: / <br /> Exstg Fire Alarm? Yes— No—Unk_ Historic App oved y: Date: <br /> Fire Alarm Reqd? Yes— No— School Mitigation Reqd? Yes X, No— <br /> Reason EverettSchool Dist ukilteo School Dist <br /> Enclosure (RCW64.55) Yes— No— #of Net New Units: <br /> Addntl Enc Doc's Rqd? Yes • No <br /> Approved by: Date:3 Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Zoa //:G rk pvsgz-. <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 ('0 3S <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 />