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� <br />FOR OFFICE USE ONLY �' ��{D� �O LD <br />BUILDING <br />Bld /TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occu anc Grou <br />Occu ant Load <br />Basement Yes _ No _ Fin/Unf <br />Type of Construction <br />Exst Sprinkler S stem? Yes No Unk <br />Fire S rink Reqd? Yes No <br />Reason <br />Exst Fire Alarm? Yes No Unk <br />Fire Alarm Re d? Yes No <br />Reason <br />Enclosure W64.55 Yes No <br />A roved b. L Date: .. � <br />Comments <br />PLANNING <br />Zonin Classification — � <br />Overlay/Agreement '�� <br />Nonresidential Use <br />Residential Use <br />Pro osed No. of Dwellin Units: —�'" <br />Total No. of Dwellin Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />.�—, <br />Plannin Ins ector: <br />Phone #: <br />A roved b Date: C �' / <br />Historic Approved b : =-��,te: <br />School Miti ation Re d? Yes No <br />Everett School Dist — Mukilteo School Dist -- <br /># of Net New Units: <br />Calculated School Impact Fee: <br />School Im act Fee Credit: �— <br />Total School Im act Fee Owed: '-- <br />Comments: _�---- <br />FEES <br />Plan Check Fee <br />Buildin Permit <br />Surchar e <br />Additional Plan Check <br />W ater <br />Sewer <br />S stems Dev. Due? Yes No <br />S stems Dev. Fees <br />Public Works <br />Traffic Miti ation Due? Yes No Rc t# <br />School Miti ation Fee <br />Z�Z <br />