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� <br />• <br />FOR OFFICE USE ONL Y �� S ��3 -- U 1�` <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />Garage Size <br />VALUATION <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 />ApprovedbV: � Date: Q-/�/—/,�; <br />omments: <br />�•.EL 1�t1� � Pt � ��r-i '(" <br />61�IQtJ� �Il E � �Q l�� 1FP' <br />�� U�r/Cv��-? e�nN4N7 <br />�� �s� o� K���� <br />� � � a �, N�n RE�� n� <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />5ystems 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 />Nonresidentiai Use C(}`� � <br />� <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning Ins tion <br />needed be�ore final? s No <br />Planning Inspector: <br />Pho�e #: <br />Approved by: ��� Date:�6�2���I S <br />—� <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No . <br />Everett School Dist Mukilte chool Dist <br /># of Net New Units: <br />Calculated School I act Fee: <br />School Impac ee Credit: <br />Total Sch Impact Fee Owed: <br />Comments: <br />�o �'e�u�e�•� ��e�l����� <br />Z/Z <br />