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r5ro -o <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bldg/Tl/Addn/Rem Size I ) Zoning Classification <br /> Garage Size 47:3 Overlay/Agreement <br /> VALUATION 153,ii-620 Nonresidential Use <br /> No. of Stories Residential Use <br /> Occupancy Group 5 j (t. Proposed No. of Dwelling Units: <br /> Occupant Load Total No.of Dwelling Units: <br /> Basement Yes_ No/Fin/Unf Landscape or Planning Inspection <br /> Type of Construction V— needed before final? Yes No <br /> Exstg Sprinkler System? Yes_ No✓ Unk_ Planning Inspector: <br /> Fire Sprink Reqd? Yes ✓ No_ Phone#: <br /> Reason ij-I(i oat Approved Sir it _ _ late: J/3/4 <br /> Exstg Fire Alarm? Yes No Unk Historic App.oved b Date: / <br /> Fire Alarm Reqd? Yes No ✓ School Mitigation Reqd? <br /> Yes x No <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure(RC 64.55) Yes_ No V #of Net New Units: <br /> Approved by: a 1 Date: 12. -a. 9- /S Calculated School Impact Fee: <br /> Comments. School Impact Fee Credit: <br /> Total School Impact Fee Owed: 10 4Z <br /> Comments: <br /> L FEES PUBLIC WORKS <br /> Plan Check Fee Ott `CO Review Required? Yes No <br /> Building Permit fS Reviewer:. Date: <br /> Surcharge i'.56 Comments: <br /> Additional Plan Check <br /> Water <br /> Sewer P W <br /> Systems Dev. Due? Yes No <br /> Systems Dev.Fees <br /> Public Works <br /> Traffi Mitigation Due? Yes No X <br /> School Mitigation Fee ( O Cl a '0p <br /> P. .ttmLi Pw/gag-OO1 <br /> Iz <br />