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FOR OFFICE USE ONLY B3 S O 5 -05 7 <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />/U <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupancy Group <br />/ <br />U <br />Occupant Load <br />%J <br />Basement <br />Yes No ✓Fin/Unf <br />Type of Construction <br />Qu IQ, 5U64 <br />Exstg Sprinkler System? <br />Yes _ No e!�_ Unk_ <br />Fire Sprink Reqd? <br />Yes _ No <br />Reason <br />Exstg Fire Alarm? <br />Yes _ No ✓ Unk <br />Fire Alarm Reqd? <br />Yes No <br />Reason <br />Enclosure (R <br />4.55) <br />Yes _ No _ <br />Approved by: <br />Date: / S <br />Comment : <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 Due? <br />Yes No <br />[School Mitigation Fee <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 />PUBLIC WORKS <br />Review Required? <br />Yes No <br />Reviewer: <br />Date: <br />Comments: <br />.�( z <br />