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�/lIT# W f Coo-3-001 <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/Tl/Addn/Rem Size Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement Yes_ No_Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes_ No_ <br /> Existing Sprinkler System?Yes_ No_Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No— Phone#: <br /> Reason Approved by: Date: <br /> Existing Fire Alarm Yes_ No Unk Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No_ School Mitigation Reqd? Yes No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law Req'd Yes_ #of Net New Units: <br /> Deferred Submittal Req'd Yes_ No_ <br /> Approved by: lk Date: 4(9 Mo to Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: /lo j retdw`,r. ,c✓ r/,t, <br /> FEES PUBLIC WORKS .. <br /> Plan Check Fee PW Permit Required? Yes No X <br /> Building Permit Intake Checked By: j(62 Date: S_ 9 <br /> Surcharge Comments: <br /> Additional Plan Check <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 <br /> Traffic Mitigation Fee <br /> Public Works Fee System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee <br />