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(° FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification A- M <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use \MajleVoiAlk. <br /> No,of Stories Residential Use , <br /> Occupancy Group Proposed No.of Dwelling Units: _ <br /> ' <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes— No_Fin/Unf Landscape or Planning pection <br /> Type of Construction needed before fins . Yes No <br /> Exstg Sprinkler System? Yes No Unk Planning Inspe r: <br /> Fire Sprink Reqd? Yes_ No Phone#: <br /> Reason / <br /> Approved by:�YS7,� Date: S! i�(i ti) • <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 Mukilte. hoot Dist <br /> Enclosure(RCW64.55) Yes_ No #of Net New Units: <br /> Approved by: I rmk Date: C/14/('i Calculated School I •'act Fee: <br /> Comments: . School Impact e Credit ` <br /> Total Schot Impact Fee Owed: • <br /> Corn . ts: <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 /> Y <br /> Traffic Mitigation Due? Yes No Rcpt# 5 <br /> f <br /> School Mitigation Fee u <br /> k <br /> : <br />