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FOR OFFICE USE ONL Y g �� c� �, -�y�0 <br />BUILDING <br />Bldg/TI/Addn/Rem Size �O`�� <br />Garage Size <br />VALUATION Q � �� <br />No. of Stories � <br />--� <br />Occupancy Group <br />-� <br />Occupant Load l � <br />Basement Yes No Fin/Unf <br />Type of Construction — <br />Exstg Sprinkler System? Yes � No Unk <br />Fire Sprink Reqd? Yes � No _ <br />Reason <br />Exstg Fire Alarm? Yes No a Unk <br />Fire Alarm Reqd? Yes No <br />Reason <br />Enclosure (RCW64.55) Yes No� <br />Approved by: /�� Date: /'l �� / � <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 <br />School Mitigation Fee <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: � �' r.i' Date:�F' � <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No--�f � <br />Everett School Dist Mukilteo School Dist <br /># of Net New Units: <br />Calculated School Impact Fee: <br />School Impact Fee Credit: <br />y6fal School Impact Fee Owed: <br />Comments: , <br />��.'�, �`�,� 'm�\�� �� ' ,ti `r�(� <br />� D <br />