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• <br />FOR OFFICE USE ONLY M ( `� k <br />BUILDING <br />Bldg✓TI/Addn/Rein Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupancy Group <br />Occupant Load - <br />Basement <br />Yes <br />No •Fin/Uof • <br />Type of Construction <br />E*srq Sprinkler System?' <br />Yes <br />Rio, Unk <br />Fire Sprink Reqd? <br />Yes <br />No <br />Reason <br />Exstg Fire Alarm? <br />Yes _ <br />No _ Unk_ <br />Fire Alarm Reqd? <br />Yes _ <br />No <br />Reason <br />Enclosure (RC ✓ 4 55) <br />Yes <br />No _. <br />Approved by <br />Date. <br />Comment <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />Proposed No. of Dwelling Units <br />Total No of Dwelling Units.- <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector. <br />Phone #. <br />Approved by. Date <br />Historic Approved by Date <br />School Mitigation Reqd? Yes No <br />Everett School Dist Mukilteo School Dist <br /># of Net New Units. <br />Calculated School Impact Fee. <br />School Impact Fee Credit <br />Total School Impact Fee Owed. <br />Comments. <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Due? <br />Yes No _ <br />Systems Dev. Fees <br />Public Works <br />Traffic Mitigation Duel <br />Yes No Rcpt # <br />School Mitigation Fee <br />