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� <br />• <br />FOR l�FFICE USE ONLY �j �, s GZ �DZ�' <br />BUILDING <br />Bldg/TI/Addn/Rem Size 7 � � <br />Garage Size <br />VALUATION <br />No. of Stories I <br />Occupancy Group � <br />Occu ant Load 1 5 <br />Basement Yes No Fin/Unf <br />Type of Construction `/ '- <br />Exst Sprinkler S stem? Yes No Unk <br />Fire S rink Re d? Yes No ✓ <br />Reason <br />Exst Fire Alarm? Yes No Un <br />Fire Alarm Re d? Yes No V <br />Reason <br />Enclosure RC 64.55 Yes No � <br />A roved b: J Date: ... 3' � � <br />Comments:U <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 />Tra�c Mitigation Due? Yes No <br />School Miti ation Fee <br />PLANNING <br />Zoning Classification - <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />Proposed No. of Dwelling 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: � ``' <br />Historic A roved 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 />Schooi fm act Fee Credit: <br />Total School Im act Fee Owed: <br />Comments: <br />�� S �yr 5tkre�wrds �- <br />� AY�E� SLA�' � �_-�. <br />PUBLIC WORKS <br />Review Required? Yes No ,1( <br />Reviewer: �!i Date: �`3 •- % - / <br />Comments: ` <br />�c.11�,%��• i�>»��c.�c��., <br />t�� C f�,�+� <cJ � .SlCvr�;LJli L�C <br />�rYl.�i.`�� /t�^�iva S%C%s�7 Q.T d���y^(,�,/�t j/ <br />� <br />