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• �—IIT# 61tio .--. ®5z- <br /> FOR OFFICE USE ONLY <br /> ... BUILDING PLANNING.,, <br /> Bldg/Tl/Addn/Rem Size 2/ 6 J C Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories I Residential Use <br /> Occupancy Group 5 - 1 Proposed No.of Dwelling Units: <br /> Occupant Load 1 (s G. Total No. of Dwelling Units: <br /> Basement Yes No�_Fin/Unf Landscape or Planning Inspection <br /> Type of Construction - 6 needed before final? Yes_ No_ <br /> Existing Sprinkler System?Yes V'/ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes V No_ Phone#: <br /> Reason fA/. Approved by: Date: <br /> Existing Fire Alarm Yes camNo_Unk_ Historic Approved by: Date: <br /> / <br /> Fire Alarm Required Yes t/ No_ School Mitigation Reqd? Yes_ No_ <br /> Reason i C,f Everett School Dist Mukilteo School Dist <br /> Enclosure Law Re, d Yes_ #of Net New Units: <br /> Deferred Submitta 'd Yes No4 <br /> _ <br /> Approved by: tIvDate: - Gs -' t Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> / Total School Impact Fee Owed: <br /> Comments: > `fil/(0 <br /> /10 reo/ Yeeif%d <br /> FEES PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By:j3 Date: 3—2L---ZZIO <br /> Surcharge Comments: ,'1 <br /> Additional Plan Check No PGSc F,m., <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes_No_ <br /> Water Fee (Fees:Yes/No, Explanation, Permit#'s,Amount) <br /> Sewer Fee Water Fee? Sewer Fee? <br /> Systems Dev. Fee yl <br /> Traffic Mitigation Fee �' ` <br /> Public Works Fee System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee y JcTri <br /> 2/21 <br />