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11/4-4,W190-t <br /> FOR OFFICE USE ONLY • <br /> BUILDING PLANNING <br /> Bldg/TI/Addn/Rem Size Zoning Classification r <br /> Garage Size Overlay/Agreement C'A <br /> VALUATION Nonresidential Use (.,C:A� C'A � <br /> No. of Stories Residential Use <br /> Occupancy Group Proposed No.of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement YesNo_Fin/Unf Landscape or Plann' nspection <br /> '1-' ."- Type of Construction s needed before nal? Yes_ No._ <br /> Exstg Sprinkler System? Yes No_Unk_ Planning I Spector: <br /> Fire Sprink Reqd? Yes_ No Phone#: <br /> Reason _ _ Approved by: .._5E----) <br /> 'E Date:' W'4 15— <br /> Exstg <br /> rExstg Fire Alarm? Yes_ No_Unk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes_ No_ School Mitigation Reqd? Yes_ No_ <br /> ReasonEverett School Dist Mukilteo School Dig_. <br /> Enclosure (R 64.55) Yes_ No #of Net New Units: <br /> Approved by Date:/0 -12- / 5" Calculated School Impact --: <br /> Commen . School Impact Fee -dit: <br /> Total School Im.set Fee Owed: <br /> Comments: . <br /> FEES PUBLIC WORKS <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 /> - <br /> Systems Dev. Due? Yes No • <br /> • <br /> Systems Dev. Fees <br /> • <br /> Public Works <br /> Traffic Mitigation Due? Yes No <br /> School Mitigation Fee <br />