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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 />Occupant Load <br />Basement <br />Yes _ <br />No _ <br />Fin/Unf <br />Type of Construction <br />f t v--r, <br />W A i.x. <br />Exstg Sprinkler System? <br />Yes <br />No <br />Unk <br />Fire S rink Re d? <br />Yes <br />No <br />Reason <br />Exstg Fire Alarm? <br />Yes <br />No <br />Unk <br />Fire Alarm Re d? <br />iYes <br />No <br />Reason <br />Enclosure RC 4.55 <br />Yes <br />No <br />,Approved by: 11 AU <br />Date: <br />jr <br />Comment .. <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surchar e <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 />��5D5-oo�l <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 b : &ML Date: <br />Historic Approved by: Date: <br />School Mitigation Re d? 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 />2b �50-1 02© <br />PUBLIC WORKS <br />Review Required? <br />Yes No <br />Reviewer:Z�i <br />Date: <br />Comments: <br />E4 <br />�kF1 <br />z(� <br />