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FOR OFFICE USE ONLY �' i 5� _��3 <br />BUILDING <br />Bld /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 />Exst Sprinkler S stem? Yes No Unk <br />Fire Sprink Re d? Yes No <br />Reason <br />Exst Fire Alarm? Yes No Unk <br />Fire Alarm Reqd? Yes No <br />Reason / <br />Enclosure (R 64.55) Yes No <br />A roved b : Dat <br />Comments: <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 C — <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 Inspector: <br />Phone #: <br />Approved b : Date: ,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 Impact Fee: <br />School Impact Fee Credit: <br />Total School Impact Fee Owed: <br />Comments: <br />��Z <br />