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FOR OFFICE USE ONLY <br />BUILDING <br />Bld /T A dn em Size '¢ .SF <br />Garage Size <br />VALUATION `L ( <br />No. of Stories � <br />Occupanc Group � <br />Occupant Load <br />Basement Yes No xFin/Unf <br />Type of Construction <br />Exstg Sprinkler System? Yes No Unk <br />Fire Sprink Reqd? 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 />Ap roved b : Date: ,3 <br />Comments: Z��Z /�2L �` (�S'�cC <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 <br />School Miti ation Fee <br />C� <br />.�f S07'CyZ�( <br />PLANNING <br />Zonin Classification — \ <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use �{'j�,�\ <br />Proposed No. of Dwellin Units: <br />Total No. of Dwellin Units: <br />Landscape or Planning Inspectio <br />needed before final? Yes No <br />Plannin Inspector: <br />Phone #: <br />Approved b : Date: C�� <br />Historic Approved b : Date: <br />School Miti ation Reqd? Yes No <br />Everett School Dist Mukilteo Sch ist <br /># of Net New Units: <br />Calculated School Impact F : <br />School Impact Fee Cre <br />Total School Impac ee Owed: <br />Comments: <br />>�� <br />�Z <br />