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�tK�,��T# C';j G;C'3 -��%�C <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size Qj �p SiF Zoning Classification � � <br /> Garage Size 3 s,f� Overlay/Agreement <br /> VALUATION 2 $ g3 Nonresidential Use <br /> Number of Stories � Residential Use �j� <br /> Occupancy Group ({ Proposed No. of Dwelling Units: 1 <br /> Occupant Load Total No. of Dwelling Units: 1 <br /> Basement Yes No �Fin/Unf Landscape or Planning Inspection <br /> Type of Construction � needed before final? Yes� No <br /> Existing Sprinkler System?Yes No Unk Planning Inspector: �j�"Q1��2 � <br /> Fire Sprinkler Required Yes� No Phone#: �I,�I,S •251• 1\ � <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes No School Mitigation Reqd? Yes� No <br /> Reason Everett School Dist Mukiiteo School Dist <br /> Enclosure Law Req'd Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No <br /> Approved by: Date: �j (o Calculated School Impact Fee: �"Z <br /> Comments: Zd�Z �AG � �s� School Impact Fee Credit: <br /> ��� <br /> Total School Impact Fee Owed: 'L <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee � '� . `� �� PW Permit Required? Yes No <br /> Building Permit 7�. Intake Checked By: Date: <br /> Surcharge -� Q Comments: <br /> Additional Plan Check `-� — ? <br /> Plumbing Fee ( :•��> �`� � � � t�G � ��� <br /> Mechanical Fee ���• � <br /> Ping Bldg Review Fee / Fire Sprinkler Required by Fire Dept?Yes_No <br /> Water Fee ��(;Q ? (Fees: Yes/No, Explanation, Permit#'s, Amount) <br /> Sewer Fee � OZo Water Fee? Sewer Fee? <br /> Systems Dev. Fee (t; ��� i <br /> Traffic Mitigation Fee lz,� <br /> Public Works Fee %`'�'�j7� System Dev. Fee? Traffic Mitiqation Fee? <br /> School Mitigation Fee � ��,�. ��i <br /> �� �� .-� <br />