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� <br />FOR OFFI CE USE ONL Y �(� I C�r �� <br />BUfLD1NG <br />Bld !TIlAddn/Rem Size �� 3 � o <br />Garage Size <br />VAI.UATION �j � ; � ���. <br />No. of Stories <br />Occu anc Grou � <br />Occu ant Load <br />Sasement Yes _ No � inlUnf <br />Type of Construction - �� <br />Exsi S rinkler stem? Y2S NO Unk <br />Fire S rink Re d? Yes iVo <br />Reason <br />Exs Fire Alarm7 Yes No l� Unk <br />Fire Alarm Re d? Yes No ✓ <br />Reason <br />Enclosure R W64.55 Yes No <br />A roved b�: �' Date: � '' — '� <br />Comm¢nts: <br />PLANNtNG <br />Zonin Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />Proposed No. of Dwellin Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning Inspectlon <br />needed before final? Yss No <br />Plannin Ins ector: <br />Phone #: <br />Ap rove ' <br />HistoricAp ved b Date: � <br />Schoof Miti ation e d? Yes No _ <br />Everett School Dist Mukiiteo School Dist <br /># of Net New Units: <br />Calculated School Im act Fee: <br />School Im act Fee Credit: <br />Total School Im act Fee Owed: <br />Comments: <br />FEES <br />Plan Check Fee <br />Suildin Permit <br />Surcharge <br />Additionai Pian Check <br />Water <br />5ewer <br />S stems Dev. Due? Yes No <br />S stems Dev. Fees <br />Public Works <br />Traffic Miti ation Due? Yes No Rc t�t <br />School Miti ation Fee <br />Z /� <br />