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� <br />• <br />FOR OFFI CE USE ONL Y Q �5 U-1 _� S � <br />BUILDING <br />BIdg/Tl/Addn/Rem Size � �v <br />Garage Size <br />VALUATION l Q O <br />No. of Stories <br />Occupancy Group M <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 (RC,' 4.55) Yes No <br />Approved by:,^� Date: -! Q— 1 j <br />Comment � <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Que? Yes No <br />Systems Dev. Fees <br />Public Works <br />Traffic Mitigation Due? 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 />�� Z <br />