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� <br />FOR OFFICE US�' �NL3� <br />BUILpWG <br />Bldg/TI/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 oi Construction <br />Exstg Sprinkler System? Yes No Unk <br />Fire Sprink Reqd? Yes No _ <br />Reason <br />Exstg Fire �l�m? Yes No t��k <br />Fire Alarm Reqd? Yes No <br />Reason <br />Enclasure (RCW64.55) Yes _ No _ <br />Approved by: Date: - j j <br />Comments; <br />FEES <br />Plan Check Fee <br />Buiiding Permit <br />Surcharge <br />Additional Plan Check <br />Wafer <br />Sewer <br />Systems Dev. Due? Yes No <br />Systems Dev. Fees <br />Public Works <br />Traffic Mitigation Due? Yes No <br />School Mitigation Fee <br />L� <br />1/ / �5 �) _,�J�j. <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <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 f�eS'ore final? Yes No. <br />Planning Insp�ctor: <br />Phone #: <br />Approved by: Date: � <br />Hisioric A�!�roveJ �y: Daie: <br />School Mitigation Reqd? Yes No _ <br />Everett 5chool Dist Mukilteo School Dist <br /># of Net New Units: <br />Calculated 5chool Impact Fee: <br />School Impact Fee Credlt� <br />Total 5chool Impact Fee Qwed; <br />Comments: �� }�� � �,,�,i v� �� �� <br />/� <br />G� �� �� <br />�' � ,� <br />I� <br />�` � <br />