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• <br />FOR OFFICE USE ONLY �j [ c.� � �— C� �-�-(4, <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />,? <br />Occupancy Group ` - � <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 f� <br />Reason <br />Exstg Fire Alarm? Yes No / Unk_ <br />Fire Alarm Reqd? Yes No / <br />Reason <br />Enclosure ( CW64.55) Yes No <br />Approved b �'L.- Date: �� �`' .•�- <br />Comments� �� <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 />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Due? Yes No <br />Systems Dev. Fees <br />Public Works <br />Tra�c Mitigation Due? Yes No Rcpt # <br />School Mitigation Fee <br />��v <br />