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C i ���- �� � <br /> FOR OFFI CE USE ONL Y <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size �pj 7 S� Zoning Classification —� <br /> Garage Size �j3Pj S�C Overlay/Agreement �A <br /> VALUATION Zy(� � Nonresidential Use /� <br /> No. of Stories 2- Residential Use 5 (� <br /> Occupancy Group /� � Proposed No. of Dwelling Units: � <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No,�Fin/Unf Landscape or Planning Inspecti n <br /> Type of Construc4ion needed beFore final? Yes�No_ _ <br /> Exstg Sprinkler System? Yes No_Unk_ Planning Inspector: �,�y�y� _r <br /> Fire Sprink Reqd? Yes No Phone#: �1 � ~ ��S <br /> Reason Approved by: Date: �{ ,IS <br /> Exstg Fire Alarm? Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes No School Mitigation Reqd? Yes�No_ <br /> Reason Everett School Dist ' Mukilteo School Dist <br /> Enclosure (RCW64.55) Yes No #of Net New Units: � <br /> Approved by: Date: 1 /� Calculated School Impact Fee: ��3 , Q�� <br /> Comments: Z��Z l2e ���-�C School Impact Fee Credit: <br /> Total 5chool Impact Fee Owed: �. `,�V <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee �� 3�� Review Required? Yes No <br /> Building Permit � � �53.� Reviewer: Date: <br /> Surcharge `-f-�� Comments: <br /> Additional Plan Check S `F ��'� �L r�''1_`�j j � <br /> Water -� l �/ J�f � �j� q �{ / <br /> Sewer " (�C% �J��1.� ���`��C��.� F�'�'I�'�'�� '�-'" <br /> � �� �?� 1 ��%.0 I� <br /> Systems Dev. Due. Yes No <br /> Systems Dev. Fees ��' ,Uv <br /> Public Works tQ�j,�iU <br /> Traffic Mitigation Due? Yes No <br /> School Mitigation Fee ,�L��I, � <br /> � <br /> ;- �� Z�;� <br /> � <br />