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FOR OFFICE USE ONLY <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />S�Oi1.qG� /�� /� <br />Garage Size c $ S . <br />VALUATION �aS <br />No. of Stories <br />Occupancy Group <br />Occupant �oad <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 Unk_ <br />Fire Alarm Reqd? Yes No <br />Reason <br />Enclosure (RCW64.55) Yes No _ <br />Addntl Enc Doc's Rqd? Yes No <br />Approved by: Date: 2 2Z, /6 <br />Comments: Z�� 2 (/2L <br />D �� � S7�-� r� � � �( S.� <br />s �-,��.a.� � ( � z s¢ <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bidg Review Fee <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <br />�T� '�'�1��2- ����� <br />PLANNING <br />Zoning Classification -- <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use S <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Piann" nspection <br />needed ore final? Yes No <br />P nning 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 />PUBLIC WORKS <br />PW Permit Required? Yes No %� <br />Intake Checked By: Date: "- Z - <br />Comments: <br />Fire Sprinkler Required by Fire Dept? Yes_ No <br />(Fees: Yes/No, Explanation, Permit #'s, Amount) <br />Water Fee? Sewer Fee? <br />�stem Dev. Fee? Traffic Mitiqation Fee? <br />��� <br />