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FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bld /TI/Addn/Rem Size G.r( / Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 0 v Nonresidential Use <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_yFin/Unf Landscape or Planning Ins�in <br /> Type of Construction needed before final? Ye No <br /> Exstg Sprinkler System? Yes No Unk Planning Ins ector: <br /> Fire Sprink Re d? Yes No Phone#: <br /> Reason Approved b Date: <br /> Exstg Fire Alarm? Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Re d? Yes No School Mitigation Re d? Yes o <br /> Reason Everett School Dist kilteo School Dist <br /> Enclosure RCW64.55 Yes No #of Net New Units: r <br /> Approved by: Date: 6 (p /S Calculated Sch I Im pact Fee: <br /> Comments: Z 0/2 /cc— School Im ct Fee Credit: <br /> Total hool Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WOR S <br /> Plan Check Fee Review Required? Yes No <br /> Building Permit Reviewer:S Ck� n Date: <br /> Surcharge Comments: No C�"M�UJl <br /> Additional Plan Check <br /> Water <br /> Sewer <br /> Systems Dev. Due? Yes No <br /> Systems Dev. Fees I / <br /> Public Works Vl�t willa''� <br /> Traffic Mitigation Due? Yes No Asa <br /> School Mitigation Fee <br />