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C15���(.'f3 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bld /TI/Addn/Rem Size O S Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 500 Nonresidential Use <br /> No.of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load T'btkNo.of Dwelling Units: <br /> Basement Yes No Fin/Unf Landsca�fina <br /> Inspection <br /> Type of Construction needed es No <br /> Exstg Sprinkler System? Yes No Unk Planning Inspector: <br /> Fire S rink Re d? Yes_ No Phone#: <br /> Reason Approved by: Date: } ( s <br /> Exstg Fire Alarm? Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Re d? Yes No School Mitigation Re d? Yes No <br /> Reason Everett School Dist Mukilt chool Dist <br /> Enclosure RCW61 Yes No #of Net New Units: <br /> Approved by: Date:-6--/T//S Calculated Scho act Fee: <br /> Comments: zo fz pec- School Im Fee Credit: <br /> Total S ool Impact Fee Owed: <br /> Kt/��-� 1 0 114 I d14 �4N9 Comments: <br /> FEES <br /> Plan Check Fee <br /> Building Permit V Vr q j <br /> Surcharge <br /> � <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 />