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�O]4 OFi�'lC�` CiS,�' O�lIL Z/ <br />. - ,. <br />BUILD(tVG �; , . <br />Bldg/TUAddn/ e Size <br />Garage Size <br />VAL.UATIOiV �� � <br />No. of Stories � <br />Occupancy Group � <br />Occupant Load <br />Basemeni 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 Afarm? Yes No . Unk <br />Fire Alarm Reqd? Yes Nc <br />Reason <br />Enclosure (RCW64.55) Yes No <br />Approved by: Date: Z � �i <br />Commenfs: '�7 �R � d � <br />/ <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additionai Plan Check <br />P(umbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />Water Fee <br />Sewer Fee <br />Sysfems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <br />PE� # V� 1�� I�/} lJ ��� <br />PLA.IVPVII�G, ' ; <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 Inspecticat�� <br />D <br />/� <br />needed before final? Y No <br />Planning lnspector: � <br />Phone #: <br />Approved by: � Date: � Z� <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No <br />Everett School Dist Mukilteo S ol Dist <br /># of Net New Units: <br />Calculated School Impact e: <br />School Impact Fee Cr it: <br />Total School Impac Fee Owed: <br />Commenfs: � � <br />�iC:��,(p -00 \ <br />� �v�� ��2S�Zo��v <br />` � i1 �� , \ , <br />RUBLlC WORKS <br />PW Permit Required? Yes No <br />Intake Checked By: Date: �—Z%� ��� <br />Comments: n(p F'(,C) � <br />--1,�- .,2���- --�2.�-�,i� <br />(Fees: Yes/No, Explanation, Permii #'s, Amounf) <br />Water Fee�? Sewer Fee? <br />���� ��� <br />�tem Dev. �ee? TrafFic Mitiqation Fee? <br />� � � �� <br />�`v <br />