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FOR OFFICE USE ONLY <br />BUILDING <br />Bld /TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupancy Group <br />Occu ant Load <br />Basement <br />Yes <br />No Fin/Unf <br />Type of Construction <br />Exstg Sprinkler System? <br />Yes <br />No Unk <br />Fire Sprink Reqd? <br />Yes <br />No <br />Reason <br />Exstg Fire Alarm? <br />Yes <br />No Unk <br />Fire Alarm Re d? <br />lYes <br />No <br />Reason <br />Enclosure R <br />W64.55 <br />Yes <br />No _ <br />Approved by, <br />Date: <br />Comments* <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 UPits <br />Landscape or P ning Inspection <br />needed bef a final? Yes No <br />Planning sector: <br />Phone <br />Approved by: Date: <br />Historic Approved by: Date: <br />School Mitigation Re d? Yes No <br />Everett School Dist Mukilteo Scho Dist <br /># of Net New Units: <br />Calculated School Imp ee: <br />School Impact F Credit: <br />Total Scho9rrmpact Fee Owed: <br />Com nts: <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 Rc t # <br />School Mitigation Fee <br />2IP <br />