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Di/6 \501 -03t4 <br /> FOR <br /> OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldn'fI Add kern ize Co 1" Zoning Classification <br /> Garage Size Jv A Overlay/Agreement <br /> "-- VALUATION r _ g 674f, Nonresidential Use <br /> No. of Stories I Residential Use 5FR <br /> Occupancy Group ' Proposed No. of Dwelling Units: <br /> Occupant Load r' Total No. of Dwelling Units: <br /> Basement Yes Xi No of Landscape or Planning Insp tion <br /> Type of Construction needed before final? Ye ^ No <br /> Exstg Sprinkler System? Yes No Unk_ Planning Inspector: <br /> Fire Sprink Reqd? Yes_ No x Phone#: <br /> Reason 1111' Approved bye Date:-4-fr.-/-1/(S"� <br /> Exstg Fire Alarm? Yes No )4 Unk_ Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes No < School Mitigation Reqd? Yes No <br /> Reason 1j fr Everett School Dist Mukilteo :chool Dist <br /> Enclosure(RCW64.55) Yes_ No )4 #of Net New Units: <br /> 4}7.roved by: . f 4 Date: 'Z /1 S Calculated School Impact ee: <br /> Comments: ` School Impact Fee Cr_:it: <br /> z '•` t '. " Total School Impac ee Owed: <br /> Comments: <br /> FEES PUBLIC WORKS <br /> • <br /> Plan Check Fee Review Required? Yes No <br /> Building Permit Reviewer: Date: <br /> Surcharge Comments: <br /> Additional Plan Check <br /> Water <br /> Sewer <br /> Systems Dev. Due? Yes No <br /> Systems Dev. Fees <br /> Public Works <br /> Traffic Mitigation Due? Yes No <br /> School Mitigation Fee e t l I wkert(lli' <br />