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F•VI IT# <br /> FOR OFFICE tJSE ONLY <br /> BUILDING PLANNING <br /> Bld /TI ddn/Rem Size � D zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidpntial Use <br /> No. of Stories Residential Use <br /> Occupancy Oroup � Proposed No.of Dwelling �nits: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No_Fin , n_ Landscape or Planning Inspection <br /> Type of Construction — needed before final? Yes_ No <br /> Exstg Sprinkler System? Yes V No_Unk Planning Inspector: <br /> Fire$prink Reqd? Yes_V No_ Phone#: <br /> Reason Approved by: Date: <br /> Exstg Fire Alarm? Yes ✓ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes— No_ School Mitigation Reqd? Yes_ No_ <br /> Reason 41 Everett School Dist Mukilteo School Dist <br /> Enclosure (RCW64.55) Yes_ No #of Net New Units: <br /> Addntl Enc D c's Rqd? Yes_ No <br /> Approved by: Date: Calculated School Impact Fee: <br /> _.. . <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By: Date: <br /> Surcharge Comments: <br /> Additional Plan Check <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes No <br /> Water Fee (Fees:Yes/No,Explanation, Permit#'s,Amount) <br /> Sewer Fee Water Fee? Sewer Fee? <br /> Systems Dev. Fee <br /> Traffic Mitigation Fee _ <br /> Public Works Fee System Dev. Fee? Traffic Miji ation Fee? <br /> School Mitigation Fee <br />