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• <br />FOR OFFICE USE ONLY �`� �S �� <br />BUILDING <br />Bld /TI/Addn/Rem Size � v <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 />Exst Sprinkler S stem? Yes No Unk <br />Fire Sprink Re d? Yes Nolf� <br />Reason <br />/ <br />Exst Fire Alarm? Yes � No Unk <br />Fire Alarm Re d? Yes No <br />Reason � tl� <br />Enclosure (R 64.55 Yes No � <br />A roved b � Dat — <br />Comment . <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 />PLANNING <br />Zonin Classification ; <br />Overlay/Agreement '-- <br />Nonresidential Use (� � ��_ � �� <br />Residential Use <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: � 2� S <br />Historic A proved b: Date: <br />School Miti ation Reqd? Yes No <br />Everett School Dist Mukilteo School Dist <br /># of Net New Units: <br />Calculated School Im act Fee: <br />School Impact Fee Credit: <br />Total School Im act Fee Owed: <br />�o���i�e-� U i �-e%�- <br />����,���c <br />�u� � <br />- C � <br />