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• <br />FOFl (JFFICE USE ONLY <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupancy �roup <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: - Date: �j-� —j(� <br />Comments: <br />s,,�b j� �-F- �� -�� �t �� <br />i �5� ��;.�n <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanicai 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 />Schooi Mitigation Fee <br />P IT# i I ��.�� ��� <br />� <br />PLANNING <br />Zoning Glassification <br />Overlay/Agreement <br />Nanresidential Use <br />Residential �Jse <br />Fr�posed No. qf Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape ar Planning Inspecfiion <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 />Schooi Impact Fee Credit: <br />Total Schooi Impact Fee Owed: <br />Gomments� <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 />�tem Dev. Fee? Traffic Mitigation Fee? <br />�Z <br />