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� <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />Garage Size �' �. i �r� <br />VALUATION �� 7 �j <br />No. of Stories � <br />Occupancy Group �. <br />Occupant 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 />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: pate: / /5 /co <br />Comments: ���Z /� � <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 />PERr� i'�i �CC� � � � � 7 <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Total Na. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No _ <br />Planning Inspector: <br />Phone #: <br />Approved b : ate: � ! b <br />Historic App ov �d by: Date: � <br />School Mitigation Reqd? Yes No <br />Everett School Dist Mukilteo Schoof 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 />�stem Dev. Fee? Traffic Mitiaation Fee? <br />z/z <br />