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i5 cc--a3� <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size � v Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No.of Stories i Residential Use <br /> Occupancy Group — I Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes No VFinlUnf Landscape or Planning Inspection <br /> Type of Construction S needed before final? Yes_ No_ <br /> Exstg Sprinkler System? Yes No_Unk_ Planning Inspector: <br /> Fire Sprink Reqd? Yes ✓ 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 Everett School Dist Mukilteo School Dist <br /> Enclosure(R 4.55) Yes_ No_ #of Net New Units: <br /> Approved by:/1 Date: Calculated School Impact Fee: <br /> Commentsi, School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES <br /> Plan Check Fee <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check <br /> Water <br /> Sewer <br /> Systems Dev. Due? Yes No <br /> Systems Dev. Fees <br /> Public Works <br /> Traffic Mitigation Due? Yes No Rcpt# <br /> School Mitigation Fee <br />