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i <br />FOR OFF/CE USE ONLY <br />BUILDING <br />Bld /TI/Addn/Rem Size C/ �% � <br />Garage Size <br />VALUATION <br />No. of Stories / " �� <br />Occu anc Grou <br />Occu ant Load .L , <br />Basement Yes No in/ nf <br />Type of Construction <br />Exstg Sprinkler S stem? Yes � No Unk <br />Fire S rink Reqd? Yes No <br />Reason � . <br />Exst Fire Alarm? Yes � No Unk <br />Fire Alarm Reqd? Yes No <br />Reason ��1� <br />Enclosure R 64.55) Yes No <br />A roved b . Date: - <br />Comment .� <br />❑ <br />PLANNING <br />Zonin Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />Pro osed No. of Dwellin 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 />School Im act Fee Credit: <br />Total School Im act Fee Owed: <br />Comments: <br />nc �1�� �� n � �� ,�ev����-�v <br />,��.��,`� p�r �� <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 />�� <br />