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n <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bid iTiiHddniRem 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 />Fxs? S�rinkler S s?em? 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 />`nclosure RC; 64.55 Yes No <br />A roved b v Date: ,� •` 7. ( <br />Comment�?' <br />L <br />FEES <br />Pian 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 />L_J <br />�1'1 l 5 o S� ��"7 <br />PLANNING <br />Zonin i;iassification ' � > " L <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 In ection <br />needed before final? s No <br />Planninp Ins ector <br />Phone #: <br />Approved by: ��� Date: �� �� �� <br />Histgri� Ap�rpved by: Date: <br />School Miti ation Re d? Yes No <br />Everett School Dist Mukilteo ool Dist <br /># of Net New Units: <br />Calculated School I act Fee: <br />School Im act F e Credit: <br />Total Schoo mpact Fee Owed: <br />Comments: <br />�e �'.��c� �us� o� -;�� <br />QS � SC (�2Q � _ �"�^ \1�S `�'� <br />�� s�c���\c ��� ��.c� <br />z�� <br />