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I I I [MT# if&e9, -001( <br /> ..I <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING_ <br /> q ,.^` <br /> KB y-I/Addn/Rem Size 4 "10 -. Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION I G1 8 0Q Nonresidential Use <br /> I <br /> No.of Stories J Residential Use <br /> Occupancy Group LI 9f No.Proposed ng Un <br /> Dwelling its: <br /> Occupant Load -- Total No. of Dwelling Units: <br /> Basement Yes_�V/ V <br /> No V Fin/linf Landscape or Planning Inspection_ <br /> Type of Construction (I needed before final? Yes / No T <br /> Exstg Sprinkler System? Yes_ No. (fink Planning Inspector: 5*1C I. 0 ® ' l-elon <br /> Fire Sprink Reqd? Yes No._LL Phone#: 42& 5 l3/ s• <br /> Reason Approved Date: z 3//(o <br /> Exstg Fire Alarm? Yes No VUnk Historic Approved by: Date: <br /> Fire Alarm Reqd? Yes_ No C/ School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure (RCWS4.55) Yes No / #of Net New Units: <br /> Addntl Enc D 's Rqd? Yes_ No v <br /> Approved by4 Qate: -P_ I Calculated School Impact Fee: <br /> Comment , School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> 0Onip/V / Revs" #'li-oaf . <br /> FEES . ' PUBLIC WORKS <br /> Plan Check Fee PW Permit Required? Yes No <br /> Building Permit Intake Checked By: Date: <br /> Surcharge Comments: <br /> Additional Plan Check ,! -- Pvi' (.476A-Olt( <br /> Plumbing Fee `7ft <br /> Mechanical Fee <br /> Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?YesNo_ <br /> Water Fee (Fees:Yes/No,Explanation, Permit#'s,Amount) <br /> Sewer Fee W_at_er_Fee? Sewer Fee? <br /> Systems Dev. Fee ./------- <br /> Traffic Mitigation Fee <br /> Public Works Fee System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee /"" OD <br />