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FOR OFFICE USE OIVLY C L 5 �� -�o z <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size (p �� Zoning Classification —� <br /> Garage Size � Overlay/Agreement ``��S- - <br /> VALUATION /Z ,SgO Nonresidential Use <br /> No. of Stories � Residential Use j <br /> Occupancy Group � G/ Proposed No. of Dwelling Units: r <br /> Occupant Load Total No. of Dwelling Units: � <br /> Basement Yes No in nf Landscape or Planning Inspec n <br /> Type of Construction needed before final? Yes�No <br /> Exstg Sprinkler System? Yes No_Unk_ Planning Inspector: �_`�,L�L, ''�,'`�'�`('� <br /> Fire Sprink Reqd? Yes No Phone#: � J — <br /> Reason Approved by: Date: � 3 C <br /> Exstg Fire Alarm? Yes No Unk Historic Approved by: i ,?�� Date: � Z� I <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: ,2�'/ Calculated School Impact Fee: � � <br /> Comments: ��!2 ��G � �1'�G Schooi Impact Fee Credit: <br /> Total School Impact Fee Owed; � r �Q <br /> Comments: <br /> FEES PUBLIC WORKS <br /> ,.,._ <br /> Plan Check Fee (� �'D��+�"'� �� ' '1��� Review Required? Yes�No <br /> Buildin Permit / � Reviewer: ' Date: �? <br /> g �if_l ���j1(� '� _ _ _`7�` - � <br /> Surcharge `C-�� Comments: <br /> Additionai Plan Check ' ��Z- � f � Y �'`� + <br /> Water �,��;" ? � ,✓ �W 1� l./���1 � <br /> Sewer a+ ' ' '" � , . <br /> Systems Dev. Due? Yes No O/.�J��� � <br /> Systems Dev. Fees ' <br /> Public Works :; <br /> Tra�c Mitigation Due? Yes No ' <br /> School Mitigation Fee <br /> .��z ; <br /> , <br />