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• <br />� <br />FOR OFFICE USE ONLY C� s d�' ��� <br />BUILDING <br />Bldg/TI/Addn/Rem Size 7 '. <br />Garage Size <br />VALUATION �/ 3 Z <br />No. of Stories <br />Occupancy Group %� <br />Occupant Load <br />Basement Yes No Fin/Unf <br />Type of Construction <br />Exstg Sprinkler System? Yes No Unk <br />Fire Sprink Reqd? Yes No <br />Reason <br />Exstg Fire Alarm? Yes No Unk <br />Fire Alarm Reqd? Yes No <br />Reason <br />Enclosure (RCW64.55) Yes f�lo <br />_ ._— _ _��u—._ ---_ — _ _— - _----- ---- <br />Approved bv: d'��� Date I O/2� �� s- <br />Comments: <br />t �I% �..1 �.1�1UvU�-/ --l) IL I 11 <br />PLANNING <br />Zoning Classification r � <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 Inspectio <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: <br />Approved by: Date: �� �_ <br />Historic Approved by: Dat � <br />School Mitigation Reqd? Ye No <br />Everett School Dist Mukilteo School Dist <br /># of f�!et f�!��n� Un� . <br />Calculated S ool Impact Fee: <br />School I act Fee Credit: <br />Total School Impact Fee Owed: <br />Comments: <br />_ � <br />�.. � � �. � . _ ... � <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Due? Yes No <br />Systems Dev. Fees <br />Public Works <br />Traffic Mitigation Due? Yes No Rcpt # <br />School Mitigation Fee <br />� IG l�, .,� �� . <br />i�.0 \S�(�ll S �Q j� � ��1 <br />\C'� � �� �,�'� Cs,� <br />P� ��U ' I�.0 I`Q G� ��L I�' <br />c1, l I 1 w�-�� � L v <br />