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v _ <br /> C, 1 01 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bld /TI/Addn/Rem Size 157Z5 6' Zoning Classification —� <br /> Garage Size Aer Overlay/Agreement <br /> VALUATION ZZ OZ Nonresidential Use <br /> No.of Stories D� Residential Use <br /> Occupancy Group /` Proposed No.of Dwelling Units: G eiZ <br /> Occupant Load Total No.of Dwelling Units: 5 F <br /> Basement Yes_ No Fin/Unf Landscape or Planning Inspection <br /> Type of Construction B needed before final? Yes No_ <br /> Exstg Sprinkler System? Yes No Unk Planning Ins ector: Cti\ Oi <br /> Fire S rink Reqd? Yes No_ Phone#: ��L�2 -W(Y� <br /> Reason Approved b Date:yZ >U i 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 Mukilteo School Dist <br /> Enclosure RCW64.55 Yes No #of Net New Units: <br /> Approved by: Date: I _S� Calculated School Impact Fee: <br /> Comments: lotl /LC School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> 1� <br /> be Cutn�� d s �d� 4-o <br /> FEES <br /> Plan Check Fee <br /> Building Permit ed <br /> Surcharge oh Lot, <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 />