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# <br />� <br />FOR OFF,IC�' USE 0I11LY <br />BUILpWG <br />Bldg/TI/Addn/Rem Size ��i,l �j � �� <br />Garage Size <br />VALUATI ON <br />No. of Stories Z <br />Occupancy Group <br />Occupant Load <br />Basement Yes No �FinlUnf <br />I ype oi Construction ��S <br />Exstg Sprinkler Sy$tem? 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 />Appioved by: D�te: �, /.S � <br />Comments; ,L �' L � r L � �1f�� <br />� � S L��t%/�?' C1i�l/Jl� !� �i7��= <br />C'C.�U►��; �T�� �;�� <br />���s <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 />c �,,� t��� � c�c�z <br />PLAPVNIiVG <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelli�g Units: <br />Landscape or Planning Inspection <br />needed before �nal? Yes No_ <br />Planning Inspector: <br />Phone #: <br />A,�provQd ��, . ��#�: 1 / - <br />Hisforic Appr d b Date: <br />School Miii ation Reqd? Yes No <br />Everett 5chool Dist Mukilteo School Dist <br /># of Net New Units: <br />Calculated 5chool Impact Fee: ' <br />5chool Impact Fee Credit: <br />Total 5chool Impact Fee Qwed: <br />Comments: . . <br />z1Z <br />