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� ��T# � ����'ot��3 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI d Rem Size ��0 S� Zoning Classification <br /> j' <br /> Garage Size Overlay/Agreement <br /> VALUATION f632o Nonresidential Us <br /> Number of Stories � Residential U e <br /> Occupancy Group Propose o. of Dwelling Units: <br /> Occupant Load Total N . of Dwelling Units: <br /> Basement Yes No�Fin/Unf Lan cape or Planning Inspection <br /> Type of Construction � needed before final? Yes No <br /> Existing Sprinkler System?Yes No Unk Planning Inspector: <br /> Fire Sprinkler Required Yes No Phone#: <br /> Reason Approved by: Date: "� � <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: �j � Calculated School Impact F : <br /> Comments: Z�,`2 �� � �s�e School Impact Fee Cre ' : <br /> Total School Impac ee Owed: <br /> CO�I/�/�,eT l�a�/1T 4 ����—� Comments: <br /> To G�vi� 1'/°�C�. <br /> 1��� 1 (��0 � � <br /> 11 <br /> FEES PUBLIC WORKS <br /> Plan Check Fee �_ � PW Permit Required? Yes No�_ <br /> Building Permit , � Intake Checked By:�� Date: -� <br /> Surcharge �5� Comments: ���rY�r,, L�7trr� Gw��� <br /> Additional Plan Check <br /> Plumbing Fee Q • -� <br /> Mechanical Fee <br /> Ping Bldg Review Fee 7%�- 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 Sysfem Dev. Fee? Traffic Mitiqation Fee? <br /> School Mitigation Fee '`' <br /> �y <br />