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1)kW).27-'0(.6 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size y 00 Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories 1 Residential Use <br /> Occupancy Group NS Proposed No. of Dwelling Units: <br /> Occupant Load 9Total No. of Dwelling Units: <br /> Basement Yes_ No_V Fin/Unf Landscape or Planning Inspection <br /> Type of Constructionneeded before final? Yes No_ <br /> Exstg Sprinkler System? Yes 1PNo_Unk_ Planning Inspector: <br /> Fire Sprink Reqd? Yes t/ No_ Phone#: <br /> Reason FIC Approved by: Date: <br /> Exstg Fire Alarm? Yes `� No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes V No_ •School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure lvii <br /> R 55) Yes No_ #of Net New Units: <br /> Approved Date 6— f (o, Calculated School Impact Fee: <br /> Comme- sSchool Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> , ,,..d <br /> no if- 0/ ri-civt) <br /> 4/(,/,4# <br /> FEES PUBLIC WORKS <br /> Plan Check Fee =Required? Yes No <br /> Building Permit Reviewer: Date: y-g-ZO1 <br /> Surcharge Comments: <br /> Additional Plan Check 1\r0 91,0 QJOAXIC-4A1/ <br /> Water <br /> Sewer CAL f aiji <br /> Systems Dev. Due? Yes No <br /> Systems Dev. Fees tieRO key" Nis <br /> Public Works V <br /> Traffic Mitigation Due? Yes No <br /> School Mitigation Fee <br /> \., , <br />