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• <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bidg/TI/Add e ize (� <br />Garage 5ize <br />VALUATION ���0 <br />No. of Stories <br />Occupancy �roup <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 No _ <br />Addntl Enc Doc's Rqd? Yes No <br />Approved by: nate: Z.S /(e <br />Comments: 2�� Z � �1.L � (,J S � <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <br />P E � # c � �Q�� '�-�! <br />PLANNING <br />Zoning Classification � — <br />Overlay/Agreement <br />Nanresidential Use <br />_ _.,..,, .. <br />�, <br />Residential �Jse � � <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape ar 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 Muk' o School Dist <br /># of Net New Units: <br />Calculated Sc I Impact Fee: <br />School I ct Fee Credit: <br />Total chool Impact Fee Owed: <br />Comments:. <br />`� ��J <br />1 �-d C_C% �C '�-� V�%C7S� �L�,� <br />Q c.l ''� S''� c� {� ���� c.KY�`�j c� �(�.��- � <br />PUBLIC WORKS <br />PW Permit Required? Yes No <br />Intake Checked By: Date: <br />Comments: <br />Fire Sprinkler Required by Fire Dept? Yes_ No_ <br />(Fees: Yes/No, Explanation, Permit #'s, Amount) <br />Water Fee? Sewer Fee? <br />System Dev. Fee? Traffic Mitigation Fee? <br />�Z <br />