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• <br />\_J <br />F�R OFFICE USE ONLY <br />5� ► `f �� �( — C�C3 � <br />BUILDING <br />Bid /TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occu anc Grou <br />Occu ant Load <br />Basement Yes No Fin/Unf <br />Type of Construction <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 />Reason <br />Enclosure RC= 64.55 Yes No <br />A roved b : Date: ' <br />Comments: ' <br />PLANNING <br />Zonin Classification — � <br />Overlay/Agreement j �; <br />Nonresidential Use d,� <br />Residential Use '�� i�� <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 />A roved b : Date: ' <br />Historic A roved b: Date: �� I2a <br />School Miti ation Re d? Yes No <br />Everett School Dist Mukiiteo 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: �j'� � Cz uit ryt +��► S C'� ti <br />`�1..�4�r�r-�owj � <�i i f�- <br />�G���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 />��Z <br />