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� <br />FOR OFFICE USE ONLY <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 System? Yes No Unk <br />Fire S rink Re d? Yes No <br />Reason <br />Exst Fire Alarm? Yes No Unk <br />Fire Alarm Re d? Yes No <br />Reason <br />Enclosure W64.55 Yes No <br />A roved Da � <br />Comme . <br />C� <br />� E J'�O� �OU`� <br />PLANNING <br />Zonin Classification �_� <br />OverlaylAgreement M,�,O <br />Nonresidential Use �� <br />Residential Use <br />Proposed No. of Dwelling Units: �� <br />Total No. of Dwelling Units: ^�- <br />Landscape or Planning Inspection <br />needed before final? Yes No� <br />oi.,...,�.,,, i..�..,,,.�,.r <br />Phone #: '�""—"—"— <br />��Z <br />Historic Approved by: —��e: <br />School Mitigation Reqd? Yes _ No � <br />i <br />Everett School Dist Mukitteo School Dist <br /># of Net New Units: <br />Calculated School Impact Fee: <br />School Impact Fee Credit: <br />Total School Impact Fee Owed: �— <br />mment\� �`� � �� <br />�� <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 Rc t# <br />School Miti ation Fee <br />�i�s <br />o �� <br />� � <br />� ������ <br />� <br />2/� <br />l <br />