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9Pc,RN5 <br /> FOR OFFICE USE ONLY i� P�r� Gr_ti� <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size =}- o zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION 2, 00o Nonresidential Use 2� <br /> No. of Stories Residential Use <br /> Occupancy Caroup Proposed No.Rf Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No in/Unf Landscape or Planning Inspection <br /> Type of Construction _ needed before final? Yes_ No <br /> Exstg Sprinkler System? Yes_ NQ_Unk_ Planning Inspector: <br /> Fire Sprink Reqd? Yes_ No Phone#: <br /> Reason Approved by: Date: (p 7-1.16 <br /> Exstg Fire Alarm? Yes No_Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes— No 1L School Mitigation Reqd? Yes_ No , <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure (RC 64.55) Yes_ No— #of Net New Units: <br /> Addntl Enc Do qd? Yes , No <br /> Approved by/ Date: Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Total;school Impact Fee Owed: <br /> Comments:C e/VIP L y w l 7'7� SMA /G'o <br /> FEES PUBLIC WORK <br /> Plan Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By: Date: <br /> Surcharge Comments: P&116'0 y 00-5 <br /> Additional Plan Check <br /> Plumbing Fee Pto <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 AJIA <br /> Traffic Mitigation Fee _ <br /> Public Works Fee System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee <br /> /V /V bo <br />