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\J <br />FDI? OFFICE USE ONLY <br />_ Bl11LDING <br />Bldg/TI/Addn/Rem Size � �U� <br />Garage Size <br />�; --,� <br />VALUATION <br />No. of Stories � <br />Occupancy Group <br />Occupant Load � � <br />Basement Yes No ��/Unf <br />Type of Construction — j� <br />Exstg Sprinkler System? Yes No �Unk <br />Fire Sprink Reqd? Yes No ✓ <br />Reason <br />Exstg Fire Alarm? Yes No �ink_ <br />�� � <br />Fire Alarm Reqd? Yes �` No � <br />S, <br />Reason �' <br />Endosure (RCV}I 4 55) Yes No --� ' <br />Approved by: Date: _ -- / <br />Comments: � <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 />PE•IT #� j ��7 �(,- 1�-�—'_> <br />__ _._ _ _ _ _ p�AIVIVING , <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 />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 Mitigation Fee? <br />