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�llT# 19It° of-06 1 <br /> . FOR OFFICE USE ONLY <br /> BUILDING PLANNING`. <br /> Bldg/TI/Addn/Rem Size i 04'1 Zoning Classification J\X–A <br /> Garage Size Overlay/Agreement <br /> VALUATION 3 9 r T)-I Nonresidential Use 44Va '*14\` <br /> No.of Stories I Residential Use <br /> Occupancy Group r - I Proposed No.of Dwelling Units: <br /> Occupant Load (e Total No.of Dwelling Units: <br /> Basement Yes_ No leFin/Unf Landscape or Planning Inspection <br /> Type of Construction V_ [ needed before final? Yes_ No_ <br /> Exstg Sprinkler System? Yes V No Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes ‘../ No_ <br /> i_ �( <br /> Phone#: <br /> Reason 3• , Approved by: Date: <br /> Exstg Fire Alarm? Yes 7 No Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes No School Mitigation Reqd? Yes No— <br /> Reason pk.S 1-I;j Everett School Dist Mukilteo School Dist <br /> Enclosure ( 64.55) Yes No #of Net New Units: <br /> Approved b : Date: _2. ,, i 6 Calculated School Impact Fee: <br /> Commen School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES ": PUBLIC WORKS..: <br /> Plan Check Fee PW Permit Required? Yes No , <br /> Building Permit Intake Checked By: )0 Date:2_76-/4 <br /> Surcharge Comments: <br /> Additional Plan Check - <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bldg Review Fee <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 System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee <br />