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F-71T# /1(O a-OIZ <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> , <br /> J` <br /> Bldg/TI/Ado /Rem Size 6 Zoning Classification <br /> Garage S.ize Overlay/Agreement <br /> . r <br /> VALUATION C�I 0 5 2 Nonresidential Use <br /> No. of Stories , Residential Use <br /> Occupancy Grotap _ _ Proposed No of Dwelling Units: <br /> y <br /> Occupant Load ( I Total No. of Dwelling Units: <br /> Basement Yes_ Nov Fin/Unf Landscape or Planning Inspection <br /> Type of Construction v- 1 needed before final? Yes No J <br /> Exstg Sprinkler System? Yes_ Nov Unk_ Planning Inspector: j�� �' Wa <br /> C /, ol dor) <br /> Fire Sprink Reqd? Yes Na / Phone#: 1/2 - 5 3J <br /> Reason Approved 'FV1t Date: 3flo <br /> Exstg Fire Alarm? Yes_ No_UnkV Historic Approved by: Date: - <br /> Fire Alarm Reqd? Yes✓ No_ School Mitigation Reqd? Yes— No <br /> Reason 0 1LI hl it N/LE Everett School Dist Mukilteo School Dist <br /> Enclosure(RCW .55) Yes_ Not// #of Net New Units: <br /> Addntl Enc Doc' R d? Yes No v <br /> Approved by: pate:I 8..- ' Calculated School Impact Fee: <br /> Comments: School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> Nail. vd/ RCVSL 1/1q-001 <br /> FEES PUBLIC WORKS <br /> Plan Check Fee (198-1( PW Permit Required? Yes No <br /> Building Permit LO 4"61- Intake Checked By: Date: <br /> Surcharge Lf, c o Comments: <br /> Additional Plan Check '77•/S' <br /> Plumbing Fee ,-- <br /> ------ <br /> Mechanical <br /> Mechanical Fee <br /> Ping Bldg Review Fee 7 4.irg 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 / Ie',50e',50Public Works Fee 0$---Lr) System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee ® 1J, K 1 <br /> 0( D�� app <br />