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' <br />FOR OFF/CE USE ONLY � �� ��_�..� <br />BUILDING <br />Bldg/TI/Addn/Rem Size �S? t�: ( 2 <br />Garage Size <br />VALUATION <br />No. of Stories 1 <br />Occupancy Group – Z <br />Occupant Load � �� <br />Basement Yes No Fin/Unf <br />n <br />Type of Construction -- t� <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 (RC, 64.55) Yes _ No <br />Approved by: � Date:� - 'Z - t <br />Comments: <br />( <br />PLANNING <br />Zoning Classification �. � ' � <br />Overlay/Agreement `— <br />Nonresidential Use �� Y� Y_C,� G� l <br />Residential Use — <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning pection <br />needed before fi . Yes No <br />Planning I s ector: <br />P e #: <br />Approved by: Date: �S <br />Historic Approved by: Date: <br />School Mitigation 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 />�j�� � vW��'-�--�- <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 />Traffic Mitigation Due? Yes No Rcpt # <br />School Mitigation Fee <br />2`Z <br />