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�' <br /> , <br /> =� <br /> : :` .A " ; , _ _ <br /> � - <br /> :: ,. , -: . . FOR OFFI�E USE ON�Y;: <br /> ; <br /> .,�: BUILDING. `;: : .,PLANNING. _. <br /> BIdg/Tl/Addn/Rem Size ., ;, ��u Zonin'"g'Classification'- _ <br /> • Garage Size � `� Overlay/Agreement� '` <br /> , ,. , <br /> VALUATION, Nonresidenfial.Use <br /> No:�of Stories � �, "� Resid"entiat Use: . ,, �� <br /> Occupancy`Group �^ � . Proposed No"of Dwelliirg Units: <br /> Occupant L"oad` � �` Total No of Dwelling Urnts.� � <br /> Basement ,: . Yes_; No�,F'in/Unf_� Landscape or Rlannmg Inspection <br /> �Type of Construction ' � rieeded before final?,Yes_ No_ <br /> Exstg Spnnkler System? Yes� .Na . � Unk=� . Planning Inspector-: -' <br /> Fire::Sprink Reqd?' " �Yes � YNo .. . > Phone#� _ �,. <br /> - Reason ;:�.� ``Appr,oved 6y:. _,;Date, � <br /> ExsYg Fire,Alarm? '' ,; Yes� No`_,Unk " ° 'HrsYoric,Approved,by. . 'f ,Date ` <br /> Fire Alarm~Reqtl? ;'. , Yes � .'No._ School Mitigat'ion Reqd?-Yes' � No:� <br /> Reason". " _•'�L Everett_Schaol Dist ' �M�kiiteo.School Dist,- <br /> Enclosure(RC 64: 5)'Yes= IVo� „ ✓'� ;#of.Net New.Units <br /> Approvetl:by. Date: ���`�'- l S . Calculated ScFiool Impact Fee: ;. <br /> Comment ,< ` Schoollmpact.Fee.C�edit, , ',; <br /> Total S;chool,Impact Fee..Owed:'� <br /> Cominents <br /> _ �� .�'���t�� � <br /> ;; <br /> r <br /> � � �FEES ' <br /> , . ' ; . . !; <br /> a _ . . <br /> Ptarr Check Fee�. ; _, ., . � : ;; `.; ':,'. <br /> � B'uilding,Permit � <br /> Surcharge` <br /> � ; -: � _ ; . . <br /> , <br /> ::. - Additiorial PIan�Check - ' . ,...:_ _ .. =: <br /> - �l�/ate : < - - - - - <br /> Sewer.. <br /> Systems Dev: Due.?�� Yes Na <br /> , . <br /> � <br /> �� Systems Dev: Fees <br /> Public Works - <br /> � Traffic Mifigatiorr Due� � : Yes Nv:: �:Rcpt#: ` <br /> School Mitigafion Fee �` �^.�'! <br /> ��. <br />