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FOR OFFICE USE ONLY <br />BUILDING <br />Bld /TI/Addn/Rem Size � <br />Garage Size <br />VALUATION <br />No. of Stories � <br />Occu anc Grou S' Z <br />Occu ant Load � <br />Basement Yes No Fin/Unf <br />Type of Construction �/ � � <br />Exstg Sprinkler System? Yes No Unk <br />Fire S rink Re d? Yes � No <br />Reason �� �` <br />Exst Fire Alarm? Yes No Unk <br />Fire Alarm Reqd? Yes �� No <br />Reason � � <br />Enclosure RC 64.55 Yes No <br />A roved b Date: r ` <br />Comment : <br />� <br />6 k -Ed. i�i-rn�- <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 <br />School Miti ation Fee <br />PLANNING <br />Zonin Classification ��� - 1 ��, <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 - Date: <br />Historic Approved 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 />�e��� CO��'\ ��L�-� <br />PUBLIC WORKS <br />Review Required? Yes No <br />Reviewer. S� Date: 9— /� <br />Comments: <br />�p �G(i Cm-m����s . <br />