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FOR OFFICE USE ONLY � 15 ���GLS <br />BUILDING <br />Bld /TI/Addn/Rem Size r Z <br />Garage Size <br />VALUATION �� � -t � I �,Z, <br />� <br />No. of Stories <br />Occupanc Group ' –�– <br />� <br />Occupant Load �Z Z .i <br />Basement Yes No Fin/Unf <br />Type of Construction -- <br />Exstg Sprinkler System7 Yes No Unk <br />Fire Sprink Reqd? Yes No <br />Reason ��� L <br />Exst Fire Alarm? Yes No ✓ Unk <br />� — — <br />Fire Alarm Reqd? Yes i./ No <br />Reason � � L <br />Enclosure (RC 64.55) Yes _ No <br />Approved b. � Date: r, I�5 <br />Comme ` <br />FEES <br />Plan Check Fee Q�i c7 ��o % <br />Buildinq Permit /�p, '�! /(a. �S <br />Additional Plan Check � <br />Water !' 7�.�'��I 5 "- - <br />Sewer <br />S stems Dev. Due? Yes No <br />S stems Dev. Fees ' <br />Public Works f � <br />Traffic Miti ation Due? Yes <br />School Miti ation Fee <br />� � ct � t' Fiel � � Ci�tJ � � � (o �l i . (� 5 <br />% /• <br />' - �9 �tD <br />r , -, , r; ._ <br />PLANNING <br />Zonin Classification �v� � ��Z <br />_� <br />Overlay/Agreement .J-- <br />Nonresidential Use <br />Residential Use � �I;'IG �'�� L�SI �% %1 il�. <br />Proposed No. of Dwellin Units: I2� �� <br />Total No. of Dwellin Units: <br />V <br />Landscape or Planning Inspection <br />needed before final? Yes V No <br />Plannin Inspector: �� � �1� � SLa� <br />Phone #: � � � �"' �"I ?,� <br />Approv '� � Date: 1�% �`� �� <br />� <br />HistoricAp roved , :�-}'' ate: <br />School Miti ation 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 />Us� ;��v�,ra� Gv��ncir�ts Y� �i e��, <br />��i c�� <br />, �Y�n�r �� v�e�,u�s� �� � J <br />I V�n�si c�:rr1�� �,�i��`h SC�'A1� -C� �� <br />Z/� <br />