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� <br />• <br />FOR OFFICE USE �NLY I� ( SQ �'-- ('jc� � <br />BUILQING <br />Bldg/TI/Addn F�e °'-Size ,.C6j � <br />Garage Size <br />VALUATION �pp o <br />No. of Stories <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 <br />Reason <br />Exstg Fire Alarm? Yes No Unk_ <br />Fire Alarm Reqd? Yes No <br />Reason <br />Enclosure (RCW64.55) Yes _ No _ <br />Approved by: Date: Gj' �} <br />Comments: Z� �z ��C ¢ �jS-�C <br />�,�. <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 />rraffic Mitigation Due? Yes No <br />3chool Mitigation Fee <br />PLANNING <br />Zoning Classification -�_ <br />Overlay/Agreement ""�— <br />Nonresidential Use <br />Residential Use �� <br />Proposed No. of Dwelling Units: j�C.1 <br />Total No. of Dwelling Units: ��� <br />Landscape or Planning Inspection <br />needed before final? Yes No�/ <br />/ <br />Planning Inspector: ' <br />Phone #: _ -� �` � � <br />Appr by: Date. � ,� �S <br />Historic Approved by: �---Date: <br />School Mitigation Reqd? Yes No�� <br />Everett 5ch�ol 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 />��N� 2"� rr�� �� ���C�� <br />a� l la v�ecl. �r�� o�� s�i'�<f s,�,� S <br />I'�� (,U�-�C'E'/ �J� � / fl�r ��� ��i(� Gl �� <br />r � (iLl� . ! O�'7- 5/-� .. <br />PUBLIC WORKS <br />Review Required? Yes No <br />Reviewer: Date: <br />Comments: <br />Z� <br />