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N�ki�nir# �((c C.� . G 17 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> BldglTl/Addn/Rem Size ��/3$ s� Zoning Classification l'�— L <br /> Garage Size �5 G OverlaylAgreement <br /> VALUATION D/ ,�� Nonresidential Use <br /> Number of Stories Residential Use ��� <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 Inspection <br /> Type of Construction needed before final? Yes No <br /> Existing Sprinkler System?Yes No Unk Planning Inspector: JQ, <br /> Fire Sprinkler Required Yes No Phone#: �ZS. ZS1 . �II <br /> Reason Approved by: }L� 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 /' Mukilteo School Dist <br /> Enclosure Law Req'd Yes #of Net New Units: <br /> Deferred Submittal Req'd Yes No <br /> Approved by: Date: � / Calculated School Impact Fee: ���2 <br /> Comments: 2D`Z ��G � �f� School Impact Fee Credit: <br /> Total School Impact Fee Owed: � 'L <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee � �j`��. .�;� PW Permit Required? Yes No <br /> Building Permit ;:�-f,��-f,5 Intake Checked By: Date: <br /> Surcharge -5 �� Comments: <br /> Additional Plan Check `'� �r� ��l��b�' ��� <br /> l: <br /> Plumbing Fee l�t��n�� <br /> Mechanical Fee � -(� ✓ <br /> Ping Bldg Review Fee ` % '- ; Fire Sprinkler Required by Fire Dept?Yes No <br /> Water Fee �-�iC.e�� (Fees: Yes/Nq Explanation, Permit#'s, Amount) <br /> Sewer Fee (� �% � Water Fee? Sewer Fee? <br /> Systems Dev. Fee /�) �(} <br /> Traffic Mitigation Fee !.� c <br /> Public Works Fee �-5-C� � Svstem Dev. Fee? Traffic Mitiqation Fee? <br /> School Mitigation Fee • ,�' _� ��-�i <br /> Z� <br />