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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 <br />Occupant Load (� <br />Basement Yes No Fin/Unf <br />Type of Construction <br />Exst SprinklerSystem? Yes No ✓Unk <br />Fire S rink Re d? Yes No <br />Reason <br />Exst Fire Alarm? Yes No �Unk <br />Fire Alarm Re d? Yes No <br />Reason <br />Enclosure R W64.55 Yes No <br />Approved b : Date: . <br />Comments� <br />()) ��,nGS . f3��oM� ��� <br />�33�� GEDAR C�o�t p1WAi) <br />� i5D 3 -a�'-�I <br />PLANNING <br />�� <br />Zonin Classification �= �� <br />Overlay/Agreement <br />Nonresidential Use 3�:,:�.;��j�; <br />Residential Use <br />Pro osed No. of Dwellin Units: <br />Total No. of Dwellin Units: <br />Landscape or Planning I ection <br />needed before fin . Yes No <br />Plannin I ector: <br />Ph #: <br />A roved b : Date: <br />Historic A roved b: Date: <br />School Miti ation Re d? 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 />�v ���;��, R�c�'�� <br />FEES <br />Plan Check Fee <br />Buildin Permit <br />Surchar e <br />Additional Pian 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 Rc t# <br />School Miti ation Fee <br />�-�Z <br />