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� <br />� <br />FOR OFFICE USE ONLY ��,� Q��O C� �� <br />BUILDING <br />, ��� <br />Bldg/TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupancy Group `.7 � il <br />Occupant Load <br />Basement Yes No Fin/Unf <br />Type of Consiruciion — <br />Exstg SprinklerSystem? 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 (R W64.55) Yes _ No _ <br />Approved by: L Date: — - ( <br />Comment�';/ <br />% <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />S ewe r <br />Systems Dev. Due? Yes No <br />Systems Dev. Fees <br />Public Works <br />Traffc Mitigation Due? Yes No <br />School Mitigation Fee <br />PLANNING <br />Zoning Classification �t� <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 lnspection <br />needed be7ore fiinal % Yes i�Jo <br />Planning Inspector: <br />Phone #: <br />Approved by: <_ ��''� Date: � 3�� <br />Historic Approved by: Date: <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 />�1L ��,I'�-�.�\�t,.� J�� �U���� <br />PUBLIC WORKS <br />Review Required? �Yes No � <br />Reviewer: I Date: <br />Comments: <br />f <br />� <br />_ =,r .�r2,; <br />`� -�-� <br />< <br />�� � ^ J <br />�IZ <br />