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# 3J1 U0O"4/-D3(to <br /> FOR OFFICE USE ONLY <br /> BUILDING PLANNING <br /> Bidg/TI/Addn/Rem Size 13 5 d Zoning Classification <br /> Garage Size Overlay/Agreement <br /> VALUATION Nonresidential Use <br /> Number of Stories t Residential Use <br /> Occupancy Group 4 Proposed No.of Dwelling Units: <br /> Occupant Load ( / Total No.of Dwelling Units: <br /> Basement Yes_ Nov Fin/Unf Landscape or Planning Inspection <br /> Type of Construction ✓, C needed before final? Yes No <br /> Existing Sprinkler System?Yes_ No / Unk_ Planning Inspector: <br /> Fire Sprinkler Required Yes_ No Phone#: <br /> Reason / Approved by: Date: <br /> Existing Fire Alarm Yes Nos Unf Historic Approved by: Date: <br /> Fire Alarm Required Yes_ No School Mitigation Reqd? Yes_ No_ <br /> Reason Everett School Dist Mukilteo School Dist <br /> Enclosure Law eq'd Yes_ #of Net New Units: <br /> Deferred Sub ttal Req'd Yes No../ <br /> Approved b l�� Date: , � — ( Calculated School Impact Fee: <br /> Comment : 1 School Impact Fee Credit: <br /> Total School Impact Fee Owed: <br /> Comments: <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 <br /> Plumbing Fee <br /> Mechanical Fee <br /> Ping Bldg Review Fee 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 <br /> Public Works Fee System Dev. Fee? Traffic Mitigation Fee? <br /> School Mitigation Fee <br /> 21-12) <br />