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n <br />U <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bldg/TI/Addn/Rem Size l �C� <br />Garage Size <br />VALUATION � <br />No. of Stories f <br />Occupancy Group <br />Occupant Load l <br />Basement Yes No in/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 �nk_ <br />Fire Alarm Reqd? Yes � No <br />Reason <br />Endosure (RC 455) Yes No <br />Approved by: Date: -- / <br />Commentg: a <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg 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 />• ,. _. , <br />f � . , <�i <br />PERMIT #�f ;�I' �1 i l. (�J� ���� <br />PLANNING <br />Zoning Classification t�, <br />Overlay/Agreement <br />Nonresidential Use ` �b'V\'y'��;��'(1� <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 IXrspector: <br />Phone #: <br />Approved by: � , -� Date: � � I� ( <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No <br />Everett School Dist MukilteaScfiool 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: <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 />Svstem Dev. Fee? Traffic Mitiqation Fee? <br />, ,�' �a <br />�, ^ <br />