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O Y FOR OFFICE USE ONLY <br /> u w) BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size /HOZ Zoning Classification (— • <br /> Garage Size Overlay/Agreement �tR �` , l . <br /> 01°1+ VALUATION 7Q g 2 Nonresidential Use <br /> No. of Stories 'z Residential Use N eSds. ().ApNR.:1( <br /> Occupancy Group R Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No,XFin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes X No_ <br /> Exstg Sprinkler System? Yes No_Unk_ Planning Inspector: cock (40►(N� <br /> Fire Sprink Reqd? Yes_ No_ Phone#: "—L2 2.. • <br /> Reason Approved by: Date:C ft() \5 <br /> Exstg Fire Alarm? Yes_ No—Unk_ Historic Approved by: <br /> Fire Alarm Reqd? Yes_ No_ School Mitigation Reqd? Yes% No <br /> Reason Everett School Dist NI\ Mukilteo School Dist <br /> Enclosure(RCW64.55) Yes_ No_ #of Net New Units: CA <br /> Approved by: Date: brnf/,S' Calculated School Impact Fee: r5b <br /> Comments' School Impact Fee Credit: �Q °-13Total School Impact Fee Owed: <br /> 2�6 Z /12c• �,��c 4 (\nCQ '*e <br /> Comments: <br /> 5PS--Roes ok Qvc s.� <br /> cleat- ¶ - <br /> .I-6 I Mow,ow, 11�t,1-rJ�, <br /> FEES PUBLIC WORKS <br /> Plan Check Fee Review Required? Yes No <br /> Building Permit Reviewer: Date: <br /> Surcharge Comments: <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 <br /> School Mitigation Fee s[�/�OYI11t0.� <br /> 2 <br />