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P�KIVIIT# � I�C%� �' (I�' <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> BidglTl/Addn/Rem Size 8/�p S Zoning Classification L <br /> Garage Size ,3 �f Overlay/Agreement <br /> VALUATION 23� 3 Nonresidential Use <br /> Number of Stories Residential Use S�'�-- <br /> Occupancy Group � � Proposed No. of Dwelling Units: � <br /> Occupant Load Total No. of Dwelling Units: l <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: �Q, S <br /> Fire Sprinkler Required Yes No Phone#: 2 . Z5 . -113 <br /> Reason Approved by: Date: (o. , � �p <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: �6°I Z <br /> Comments: ���Z ��G � �S�G School Impact Fee Credit: / <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee j-!� j�i PW Permit Required? Yes No <br /> Building Permit "� Intake Checked By: Date: <br /> Surcharge `��1 Comments: <br /> Additional Plan Check `� <br /> Plumbing Fee �� ' T' �� � �P�''`������7� <br /> Mechanical Fee �' " -� j <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes No <br /> Water Fee G'C� . . ��, (Fees: Yes/No, Explanation, Permit#'s,Amount) <br /> Sewer Fee � , . '�j�, Water Fee? Sewer Fee? <br /> Systems Dev. Fee C��� �' � <br /> Traffic Mitigation Fee <br /> Public Works Fee - 5-LL System Dev. Fee? Traffic Mitiqation Fee? <br /> School Mitigation Fee � ^�C,���n? <br />