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• <br />FOR OFFI CE US� ONL Y <br />BUILQING <br />Bldg I/ ddn/Rem 5ize - C � <br />Garage Size <br />VALUATION <br />No. of Stories 1 <br />Occupancy Group / � <br />Occupant Load � � <br />Basement Yes No in/Unf <br />Type o7= Cons4rucfion — �j <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 (RCW 4.55) Yss _ No _ <br />Approved by: � ih Date: �-�3 I- i� <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 />PLANNING <br />Zoning Gassification � ^ - \ � <br />Overlay/Agreement <br />Nonresidential Use �' `,�� <br />Residential Use <br />Proposed No. of Dwelling Units: <br />Totai No. of Dwelling Units: <br />Landscape or Planning Inspection <br />needed be3or�rinal? Yes No _ <br />i <br />Planning�ispector: <br />Phone #: <br />Approved by: �-_'-- Date: `� 1� 1 j <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 />, <br />� �i�� ��.; �',--� ��U\�-L�i� <br />PUBLIC WORKS <br />Review Required? Yes No � <br />Reviewer. )c %' Date; y`— �—)� <br />Comments: <br />1�%�� ��1 %'� �``�� �� � <br />� G �?�� .�� �il � ^- <br />�� <br />�,�` L � �,/ <br />S s�,►,�, ��s = �35, �� <br />� <br />