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C�5� �-��y.- <br /> FOR OFFI CE USE ONL Y <br /> BUILpING PLANNING <br /> i / <br /> Bld I/�Addr�/Rem Size (�'� Zoning Classification — � <br /> Ga age ze Overiay/Agreement �� <br /> VALUATION Nonresidential Use ^ <br /> No. of Stories '�-'�`� Residential Use ��� <br /> Occupancy Group j'f 1� Proposed No. of Dwelling Units: <br /> Occupant Load �,�l Total No. of Dweliing Units: <br /> ��.;,. <br /> Basement Yes No Fin/lJnf Landscape or Planning Insp ion <br /> Type of Construction �_ �' needed before final? Yes fVo._ <br /> Exstg Sprinkler 5ystem? Yes No_Unk Planning Inspector: <br /> Fire Sprink Reqd? Yes No � Phone#: <br /> Reason Approved by: Date: 22 � <br /> Exstg Fi��Ala�m? Y�� 1�� �' �'n� �tsst�rir A.��rr��� h�+: �e�e: <br /> t-ire Aiarm Reqd? Yes No ✓ School Mitigation Reqd? Yes <br /> Reason ' Everett School Dist ilteo School Dist <br /> Enclosure (R W 55) Yes_ No=� #of Net New Units: <br /> Approved by / Date: �7._ 1 - � ,� Calculated 5chool pact Fee: <br /> Commer�: School Impact e Credit: <br /> Total School Impact Fee Owed; <br /> Comments: . . <br /> b l� �� �MT�-� 1�n�� <br /> FEES PUBLIC WORKS � <br /> Plan Check Fee Review Required? Yes No�_ <br /> Building Permit Reviewer: Date: <br /> Surcharge Comments: <br /> Additional Plan Check 1 <br /> Water � , , / <br /> Sewer ���\/ <br /> Systems Dev. Due? Yes No . _( � � <br /> Systems Dev. Fees � <br /> Public Works <br /> Traffic Mitlgation Due? Yes No <br /> School Mitigation Fee <br /> •,,,� <br /> �� <br />