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• <br />FOR OFF/CE USE ONLY � � �' � � �� � <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupancy Group - Z.. <br />Occupant Load <br />Basement Yes No � Fin/Unf <br />Type of Construction � <br />Exstg Sprinkler System? Yes � N Unk <br />Fire Sprink Reqd? Yes ✓ No <br />Reason t vl3s <br />Exstg Fire Alarm? Yes � fVo Unk <br />Fire Alarm Reqd? Yes � No <br />Reason � (2� <br />Enclosure (R 4.55) Yes No ' <br />Approved by: Date� <br />Comments: <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use - <br />l---� <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units -"�- <br />Landscape or Planning Inspection <br />needed before final? Yes No �J <br />Planning Inspector: - -"�—!� <br />Phone #: --- <br />Approved Date: �"( '� <br />Historic Approved by: • �a«: <br />School Mitigation Reqd? Yes No`�,��� <br />Everett 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 />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Due? Yes No <br />Systems Dev. Fees <br />Public Works <br />Traffic Mitigation Due? Yes No Rcpt # <br />School Mitigation Fee <br />2l� <br />