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FOR OFFICE USE ONLY <br />BUILQING <br />BIdg/Tl/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupancy Group <br />Occupant Load <br />Basement Yes No Fin/Unf <br />Type o'f Construciion <br />Exstg Sprinkler 5ystem? 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 (RCW 4.55) Yes No <br />Approved by: � � " Date: �� � j - � ,S� <br />Comments�� ` <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Due? Yes No <br />Systems Dev. Fees <br />Public Works <br />Traffic Mitigation Due? Yes No <br />School Mitigation Fee <br />. <br />� G �C� Z -C�ZI <br />PLANNING <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 iaeiore �inal? Yes No _ <br />Planning Inspector: <br />Phone #: <br />Approved by: Date: <br />Historic Approved by; Date: <br />Schooi Mitigation Reqd? Yes No <br />Everett School Dist Mukilteo School Dist <br /># of Net New Units: <br />Calculated 5cho�l Impact Fee; <br />School Impact Fee Credit: <br />Total School Impact Fee Owed: <br />Comments: <br />�%� r� I `� Gi-c��l l� <br />PUBLIC WORKS <br />Review Required? Yes No �� <br />Reviewer. _,�� Date; `�'—e%— �C''/� <br />Comments: <br />l Vp� ��', I�� 2�� t�D ��� <br />l�'� L� G��� � 6���� , <br />�� <br />`��,��,�, � � �� �' :�� , �� <br />�� <br />�z <br />