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n <br /> PER11/�I9 II � ` � V ,�� <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg�fl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION � ''`� Nonresidential Use <br /> No. of Stories Residential Use <br /> Occupancy Group � Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes No X Fin/Unf_ Landscape or Planning Inspection <br /> Type of Construction � needed before final? Yes_ No_ <br /> Exstg Sprinkler System? Yes_ No Unk__ Planning Inspector: <br /> Fire Sprink Reqd? Yes No Phone#: <br /> Reason Approved by: Date: <br /> Exstg Fire Alarm? Yes No Unk_ Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes No School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure (RCW64.55) Yes No #of Net New Units: <br /> Addntl Enc Doc's Rqd? Yes_ No_ <br /> Approved by: pate: I�Z:J /S Calculated School Impact Fee: <br /> Comments: Z�(Z ��L. School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By:, Date: /- 2C -Z!J/G <br /> Surcharge Comments: <br /> Additional Plan Check �� C��� Lj�C'F�-� <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bidg 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 /> ; � <br /> Systems Dev. Fee � I/�.7- N/� <br /> Ev � � <br /> Traffic Mitigation Fee <br /> Public Works Fee �stem Dev. Fee? Traffic Miti ation Fee? <br /> i <br /> School Mitigation Fee N�j� j�/ f?" <br /> ! <br /> 2I� <br />