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• <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bld /TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupanc Group <br />Occu ant Load <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 />Exst Fire Alarm? Yes No Unk <br />Fire Alarm Re d? Yes No <br />Reason <br />Enclosure RCW 4.55 Yes _ No _ <br />Approved b : ` �;. Date: - � / '-� <br />Comments: <br />FEES <br />Plan Check Fee <br />Buildin Permit <br />Surchar e <br />Additional Plan 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 <br />School Miti ation Fee <br />• <br />m �� � �-o� � <br />PLANNING <br />,--- <br />Zonin Classification '- " <br />Overlay/Agreement �l�� <br />Nonresidential Use � VV1V��' � C�� <br />Residential Use ^ <br />Proposed No. of Dwellin Units: <br />Total No. of Dwellin Units: <br />Landscape or Planning Inspection <br />needed before final? Yes ; No <br />Plannin Ins ector: <br />Phone #: �, <br />--, - <br />Approved b : �._ �—' Date: � �i- � � <br />Historic A roved b: Date: <br />School Miti ation Re d? Yes No <br />Everett School Dist Mukiiteo Se�ool Dist <br /># of Net New Units: <br />Calculated School Impact Fe : <br />School Impact Fee Credit:; <br />; <br />Total School Impact Fee Owed: <br />Comments: iC:.r-y Jv�aVv� C'� <br />��e����;���� ��i(��:,�.e � ����.�� <br />�\V� %�i � 11vM �C L7V�\� <br />v ,5:`01.2 <br />c� <br />��V�'� Wi���J� �-`�:� ��em S d�;��l; <br />��Z <br />