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• <br />• <br />FOR OFFICE USE ONLY g(�����3 � <br />13UILDING <br />Bldg/TI/Addn/Rem Size 00 <br />Garage Size <br />VALUATION <br />No. of Stories � <br />Occupancy Group t � <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 <br />Reason '� <br />Exstg Fire Alarm? Yes No Unk <br />Fire Alarm Reqd? Yes � No _ <br />Reason <br />Enclosure (R 64.55) Yes _ No <br />Approved by� Date: <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 />Traffic Mitigation Due % Yes No <br />School Mitigation Fee <br />PLANNING <br />Zoning Classification � — \ <br />Overlay/Agreement ,�'��.'� � <br />Nonresidential Use }'����CC�:� <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: � <br />Landscape or Plannin spection <br />needed before fi ? Yes No <br />Planning I pector: <br />Phone #: <br />Approved by: ��, � Date: � '��' I ] <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes N <br />Everett School Dist Mu ' eo School Dist <br /># of Net New Units: <br />Calculated Scho mpact Fee: <br />School Imp Fee Credit: <br />Totai S ool Impact Fee Owed: <br />Co ments: <br />�nc�� �E���� ; ,� l�, ��c� <br />