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� <br />FOR OFFICE USE DIlILY <br />BU1LpING <br />BldglTl/Addn/Rem Size <br />Garage Size <br />VALUATI ON <br />No. of Stories <br />Occupancy Group <br />Occupant Load <br />Basement Yes No Fin/Unf <br />I ype of Constfuction <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 (RC; 64.55) Yes _ No _ �_ <br />Approved by.� t D�t�• " -� 7 <br />Comme , <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Que? Yes No <br />Systems Dev. Fees <br />Public Works <br />Traffc Mitigation Due? Yes No <br />School Mitigation Fee <br />� <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential Use �"�'�-�-�� <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 />Arlar�yari hv• 1 fl�+o• � � ��� <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 5chool Impact Fee: ' <br />School Impact Fee Credit: <br />Total School Impact Fee Owed: <br />Comments: � . <br />