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� <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bldg�fl/Addn/Rem Size �pg ,S� <br />Garage Size <br />VALUATION ZD p� � <br />No. of Stories �. <br />Occupancy Group � <br />Occu�ant �oad <br />l3asernent Yes No�C 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: ,� L /(p <br />Comments: ���� �,e� � �jf�C <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical 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 />School Mitigation Fee <br />PE��# � �� G� C C� � <br />PLANNING <br />�i/ ,� <br />Zoning Classification ;� � <br />Overlay/Agreement <br />Nonresidential Use " <br />Residentiai �Jse ��" �,� <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Planning inspectioyi' <br />needed before final? Yes// No _ <br />Planning Inspector: � <br />Phone #: <br />,? <br />Approved by:� -� Date: -? \ � � <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No - <br />Everett School Dist Mukilteo ScI�.elol Dist <br /># of Net New Units: '� <br />Calculated School Impa, Fee: <br />School Impact Fe C�redit: <br />Total School Impact Fee Owed: <br />Comments: <br />!�;' C � ��l� -�-'C` �> <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 />System Dev. Fee? Traffic Miti ation Fee? <br />