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• <br />FOR OFFICE USE DllIL Y C � S�' �` �`�% <br />BUILDING <br />Bldgll�l/Addn/Rem Size �„r, S ��, <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupancy Group , <br />Occupant Load <br />Basement Yes _; No _ Fin/l�nf <br />Type of Construction '-' �, <br />Exstg Sprinkler System? Yes No Unk <br />Fire Sprink Reqd? Yes No <br />Reason <br />Exstg Fire Alarm? Yes No Unk <br />Fire Alarm Reqd? Yes No <br />Reason <br />Enclosure (RCW64.55) Yss _ No _ <br />Approved by: ° � Date: ' j'� .' ^�:% �=�` <br />:; . . <br />Comments: �O �,.Z <br />��1L <br />ia � ��'k�l�f�i`f 1 S �,' �11 IJ}���1 �"m`�i3�" <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. ❑ue? Yes No <br />Systems Dev. Fees <br />Public Works <br />Traffic Mitigation Due? Yes No <br />School Mitigation Fee <br />PLANNIMG <br />Zoning Classification <br />Overiay/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 before final? Yes No <br />Planning Inspector: <br />Phone #: <br />Approved by: Date: <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No <br />�verett School Dist Mukilteo School Dist <br /># of Net New Units: <br />Calculated School Impact Fee: <br />School Impact Fee Credit: <br />Total School Impact Fee Owed: <br />Comments: _ <br />,�1C� V'�� '� <br />:L�2 <br />