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FOR OFFICE USE ONLY � <br />BUILDING <br />Bldg' I/Addn/Rem Size `� <br />Garage Size <br />VALUATION <br />No. of Stories ) <br />Occupancy Group � <br />Occupant Load Z (� <br />Basement Yes No�Fin/Unf <br />Type of Construction � .- 5 <br />Exstg Sprinkler System? Yes � No Unk <br />Fire Sprink Reqd? Yes � No <br />Reason ! F <br />Exstg Fire Alarm? Yes ✓ No Unk <br />Fire Alarm Reqd? Yes �/ No _ <br />Reason �Z •� � <br />Enclosure (R�W64.55) Yes No `� <br />— � <br />Approved by: Date: - ` � _ � � <br />Comment�!,_. <br />i <br />PLANNING <br />Zoning Classification <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 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 />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 />Buiiding 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 />