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FOR OFFICE USE ONLY g t5 <br /> 0 7 53 <br /> BUILDING PLANNING <br /> BId /TI/ ddn/Rem Size OA 0 S Zoning Classification /\1\, <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No.of Stories I Residential Use <br /> Occupancy Group .. Q - Proposed No.of Dwelling Units: <br /> Occupant Load I 0 Total No.of Dwelling Units: <br /> Basement Yes_ No)Fin/Unf Landscape or Planning Inspection <br /> - Typeof Construction needed before final?' Yes .. No_ <br /> ExstgtSprinkler System? Yes X No_Unk_ Planning Inspector: <br /> f. <br /> ti <br /> Firs$punk Reqd? Yes x No_ Phone#: <br /> Reason (LeVt S kM Approved by:C ` ' Date: / 1.( 5� <br /> Exstg Fire Alarm? Yes k No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes )° No_ School Mitigation Reqd? Yes_ No_ <br /> Reason 11.6 N1 t01J.1 Everett School Dist Mukilteo School Dist <br /> Enclosure(RCW64.55) Yes_ No >4 #of Net New Units: <br /> ,r"1'•' ApprOired`t~'y:=PAV Dte: '411 3/1Calculated School Impact Fee: <br /> -- <br /> .Comments: Q.F.c f re() j-. School Impact Fee-Credit: <br /> P►ms s e - p`C j s i�►�' Total School Impact Fee Owed: <br /> p(&ric-i 04 --P.0 a 0/•• ��Gtnl. Comments:, <br /> v 1\0 '*M\11 ' ` `U420 <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 s <br /> c7 <br /> Sewer 4 ` <br /> Systems Dev. Due? Yes No <br /> Systems Dev. Fees <br /> Public Works �11, 1 <br /> Traffic Mitigation Due? Yes No <br /> School Mitigation Fee <br />