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• <br />CJ <br />FOR OFFICE' USE ONLY � � � � � � t-�C-� % <br />� BUILpING <br />Bldgil-I/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 />L�stg Fire ,�larm? Yes P�lo �Jnk_ <br />Fire Alarm Reqd? Yes iVo _ <br />Reason <br />Enclosure (R 64.55) Yes _ No _ <br />Approved b. Date: / L- S <br />Comme2t�: <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Que? Yes No <br />Systems Dev. Fees <br />Public Works <br />Traffic Mitlgation Due? Yes No <br />School Mitigation Fee <br />PLANNING <br />Zoning Classification <br />Overiay/Agreemen# <br />Nonresidential Use <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Pla�ning Inspection <br />needed before f nal? Yes No _ <br />Planning Inspector: <br />Phone #: <br />Approved by: 1 Date: J�—�, S <br />I-lisioric,�.{�; ro�ie� t�y: Da�e: <br />School Mitigation Reqd? Yes No <br />Everett School Dist Mukilteo School Dist <br /># of Net New Un(ts: <br />Calculated School Impact Fee: <br />5chool Impact Fee Credit: <br />Total School Impact Fee Owed: <br />Comments: . . <br />