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FOR OFFICE USE ONLY <br />BUILDING <br />Bid /TI/Addn/Rem Size <br />Size p D S, <br />VALUATION Z p,� <br />No. of Stories <br />Occupanc Group �.r, <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 />Exst Fire Alarm? Yes No Unk <br />Fire Alarm Reqd? Yes No <br />Reason <br />Enclosure (RCW64 55 Yes No <br />Approved b : Date: � % /S <br />Comments: ��l� /�C <br />FEES <br />Plan Check Fee `7-I, � i <br />Buildin Permit <br />Surchar e <br />Additional Plan Check <br />Water <br />Sewer <br />S stems Dev. Due? Yes No <br />S stems Dev. Fees <br />Public Works <br />Traffic Miti ation Due? Yes No <br />School Miti ation Fee <br />��sa�- o�� <br />PLANNING <br />Zonin Classification \ — 1 <br />Overlay/Agreement ---- <br />Nonresidential Use ""-- <br />Residential Use \��� �. (-�' , <br />Proposed No. of Dwellin Units: <br />Total No. of Dwellin Units: <br />Landscape or Planning In ection <br />needed before final? es No <br />Plannin Inspect . <br />Phone #: <br />A roved b: -� Date:�r � 5 <br />Historic Approved b : Date: <br />School Miti ation Reqd? Yes No <br />Everett School Dist Mukilteo S�hool Dist <br /># of Net New Units: <br />Calculated School Impac�,Fee: <br />School Impact Fee Cr,edit: <br />Total School Im ct Fee Owed: <br />Comments: <br />PUBLIC WORKS <br />Review Required? Yes No V� <br />Reviewer: ���i Date: $ I�dq �, %0�s <br />Comments: <br />Iv0 P�1 Pti'r,�� r��`� . <br />��� <br />