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• <br />FOR OFFICE USE ONLY � � cJ.� ����� <br />BUILDING <br />Bld /TI/Addn/Rem Size ( � � � <br />Garage Size <br />VALUATION <br />No. of Stories � <br />,-� <br />Occu anc Grou <br />Occupant Load �"I <br />Basement Yes No Fin/Unf <br />Type of Construction V� i3 <br />Exstg Sprinkler System? Yes No Unk <br />Fire S rink Re d? Yes No <br />Reason � �'�� � <br />Exst Fire Alarm? Yes ✓ No Unk <br />Fire Alarm Re d? Yes � No <br />� <br />Reason �'� � 'fi �. <br />Enclosure RCW6 .55) Yes No <br />A roved b: � Date: �-- � - I <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 s t e m s D e v. D u e? Y e s N o <br />S stems Dev. Fees <br />Public Works <br />Traffic Mitigation Due? Yes No <br />School Miti ation Fee <br />PLANNING <br />Zonin Classification � -' '�j <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 V <br />Plannin Inspector: ----"� <br />Phone #: <br />A rov b : Date: �1 �j ��j <br />Historic A roved b: Date: <br />School Miti ation Re d? Yes No � <br />Everett School Dist Mukilteo School Dist <br /># of Net New Units: <br />Calculated School Im act Fee: <br />School Impact Fee Credit: <br />Total School Im act Fee Owed: <br />Comments: <br />PUBLIC WORKS <br />Review Required? IYes No <br />Reviewer: I Date: <br />Comments: 1 � <br />��) �cl, 7 (�-�c/ �`�� U <br />�-- � �Lc ��v� �� �n�. <br />9-� C t��� �� )-� ��-�'� � <br />�� <br />