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� � <br /> � [ Sa3 -v�� <br /> FOR OFFICE USE ONLY 3 �I � ��Jr <br /> BUILDING PLANNING <br /> Bld fTllAtldnlRem Size Zonin Classi�cation <br /> Garage Size Overlay/Agreement <br /> VALUATION NonresideNial Use <br /> No.of Stories Residential Use <br /> Occu anc Grou Pro osed No.of Dwelhn Units: <br /> Ocw ant load Tctal No.of Dwellin Units� <br /> Basement Yes No Fin/Unf Landscape or Planning Inspection <br /> � Type of Construclicn � (,,� necded before tina�9 Yes No <br /> E�st Sonntler 5 stem� Yes ✓ No Unk PWmm� Ins ector: <br /> Fue S nnk Re d? Yes '�.� Phone#: <br /> Reason A roved b : Dale�. <br /> Exst Fire Alarm? Yes No Unk Historic A roved b : Date: <br /> F�re Alarm Re d? Yes No School Mitl ation Re A? Ycs No <br /> Reason Everett Schooi Dist Mukilteo School Dist <br /> Enclosure CW64.55 Yes No #ol Nel New Units: <br /> A roved�v Dale - Calculated School Im act Fee: <br /> Commen�s School Im act Fee Credd: <br /> Total School Im act Fee OweA: <br /> � <br /> Comments' <br /> FEES <br /> Pl�n Check Fer. <br /> �udAin Pr.rmd <br /> Surchart u <br /> AdAdional Plan Check <br /> Waier <br /> Sewer <br /> S slems Dr.v. Due? Yes No <br /> S slems Dev. Fees <br /> Public Works <br /> Trafiic Mili alion Duc� Ycs No Rc 1 p <br /> Schoal Mn� abon Fee <br /> Z�7 <br />