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� � S�G �I - G3 � <br /> FOR OFF/CE USE ONLY <br /> ,, BUILDING PLANNING <br /> Bldc�yi/Addn/Rem Size � Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> No. of Stories /V� Residential Use <br /> Occupancy Group Proposed No. of Dwelling Units: <br /> Occupant Load 5 Total No. of Dwelling 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 Planning Inspector: <br /> Fire Sprink Reqd? Yes No Phone#: , <br /> Reason Approved b : Da • / <br /> Exstg Fire Alarm? Yes � No Unk Historic Appr e by: Date: <br /> Fire Alarm Reqd? Yes � No School Mitigation Reqd? Yes No <br /> Reason 0 � Everett School Dist Mukilteo School Dist <br /> Enclosure{R W64.55) Yes No � #of Net New Units: <br /> Approved by: Date: - Calculated School Impact Fee: <br /> Comments:� School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <br /> /✓l�/� 1� <br /> ��j� � (G,�rr� r s�v-�� <br /> FEES <br /> Plan Check Fee <br /> Building Permit <br /> Surcharge <br /> Additional Plan Check <br /> Water <br /> Sewer <br /> Systems Dev. Due? Yes No <br /> Systems Dev. Fees <br /> Public Works <br /> Traffic Mitigation Due? Yes No Rcpt# <br /> School Mitigation Fee <br /> zl� <br />