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• <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bldg ' ddnlRem Size � ,�}, � � <br />Garage Size <br />VALUA710N <br />No. of Stories � <br />Occupancy Group <br />occupant �oad �-i� l � <br />Qasement Yes No V Fin/Unf <br />Type of Construction l— � <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 i� <br />Reason �� ���1. ; <br />Enclosure (RC . 64.55) Yes No <br />Addntl Enc Do 's Rqd? Yes No <br />Approved by: �ate: . �2 � � �,r <br />Comments: ' <br />/ <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 />P�IT # � � � � + V �f �/ <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nanresidential Use <br />�esidential Use <br />Froposed No. qf Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape ar 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 />�D l'�it/%���t.� � ccP`i-�c � � <br />� 3 j� � � <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 De_v. Fee? Traffic Mitiqation Fee? <br />