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� <br />�W15��-Ud� <br />FOR OFF/CE USE ONLY <br />BUILDING <br />Bld /TI/Addn/Rem Size � ��,i� <br />Garage Size <br />VALUATION �j Gb� <br />No. of Stories <br />Occupanc Grou <br />Occu ant Load <br />Basement Yes No n <br />Type of Construction j3 <br />Exst S rinkler S stem? 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 />Reason <br />Enclosure (RCW64.55) Yes No <br />A roved b : Date: � /o /S <br />Comments: 2�� /�c � �S�G <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 />Plannin Ins ector: <br />Phone #: <br />Approved b : ,"� Date: 3 .� � <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 Im act Fee Credit: <br />Total School Im act Fee Owed: <br />Comments: <br />J�� `(�-'� -t b `(�Q � -� <br />Sc��t b��..� L <br />FEES <br />Plan Check Fee <br />Buildin Permit <br />Surchar e <br />Additional Plan Check <br />Water <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 />