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• <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bldg ! %Addn/Rem Size � � �1 Z.. <br />Garage Size <br />VALUATION <br />� <br />Number of Stories ' <br />Occupancy Group <br />Occupant Load 'L <br />Basement Yes No✓ Fin/Unf <br />Type of Construction — / <br />Existing Sprinkler System? Yes No � Unk <br />Fire Sprinkler Required Yes No i/ <br />Reason <br />Existing Fire Alarm Yes No Unk <br />Fire Alarm Required Yes � No <br />Reason � i� ) �� <br />Enclosure Law eq'd Yes <br />Deferred Sub � ta Req'd Yes No <br />Approved Date: `� ' 2 - l <br />Comme <br />�' <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 />F�VIIT# �V�L/��' �'"V �, <br />PLANNING <br />Zoning Classification <br />, -- l <br />Overlay/Agreement <br />Nonresidential Use " ,� W�`e.�� <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 />� <br />�\L i 'L\l��'..1,J � �C�U\�� E � �a <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 />� <br />