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FOR OFFICE USE ONLY 15 oc4 'X( <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size 9 G Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION <br /> t , 1111. Nonresidential Use <br /> No. of Stories I Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load 1 5 Total No.of Dwelling Units: <br /> Basement Yes_ No ✓Fin/Unf Landscape or Planning Inspection <br /> Type of Construction V ., a needed before final? Yes_ No_ <br /> Exstg Sprinkler System? .Yes ' No'Unk_ Planning Inspector: <br /> Fire Sprink Reqd? Yes_ No 1/ Phone#: iiir # <br /> Reason Approved ol. 'I1 <br /> Date: 75— <br /> Exstg Fire Alarm? Yes_ No t Unk_ Historic App .ved •1 Date: <br /> Fire Alarm Reqd? Yes V1 No_ School Mi gation Reqd? Yes_ No_ <br /> Reason 1 C00( Everett School Dist Mukilteo School Dist <br /> Enclosure(RC 64.55) Yes No/ #of Net New Units: <br /> Approved by: /)i Date:. 1 .. ( 6 Calculated School Impact Fee: <br /> Comments School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES <br /> Plan Check Fee <br /> Building Permit IN il•,'t'� <br /> f ..r <br /> 1 <br /> Surcharge <br /> Additional Plan Check <br /> Water 1?-32-0140v1/4:Rd— <br /> Sewer <br /> Systems Dev. Due? Yes No ��,:ais <br /> Systems Dev. Fees <br /> Public Works <br /> Traffic Mitigation Due? Yes_ No_ Rcpt# <br /> School Mitigation Fee <br />