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FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> d I/Addn/Rem Size 3 ,5 ,� /� Zonin Classification <br /> Garage Size (�p8� cS G Overlay/Agreement <br /> VALUATION �/�O ,Ssg Nonresidential Use <br /> No. of Stories Z Residential Use <br /> Occu anc Grou /� u Pro osed No.of Dwellin Units: <br /> Occu ant Load Total No.of Dwellin Units: <br /> Basement Yes No�Fin/Unf Landscape or Planning Inspection <br /> Type of Construction needed before final? Yes No <br /> Exstg Sprinkler System? Yes No Unk Plannin Ins ector: <br /> Fire S rink Re d? Yes No Phone#: <br /> Reason A roved b : Date: <br /> Exst 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 /> Approved b : � Date: 2 E� s" Calculated School Im act Fee: <br /> Comments: ZO�Z //2G � �/f-EG School Im act Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> FEES <br /> Plan Check Fee <br /> Building Permit <br /> Surchar e <br /> Additional Plan Check <br /> Water <br /> Sewer <br /> Systems Dev. Due? Yes No <br /> Systems Dev. Fees <br /> Public Works <br /> Traffic Miti ation Due? Yes No Rc t# <br /> School Miti ation Fee <br />