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� <br />BUILDING <br />n/Rem Size a`34 � <br />Garage Size �-' <br />VALUATION <br />� <br />FOR OFFI CE USE ONL Y A� 4� �' in -GC� <br />No. of Stories � <br />Occupancy Group � � � <br />�Occupant Load �3 <br />IBasement Yes No,� Fin/Unf <br />Type of Construction � � <br />Exstg 5prinkler System? Yes � No Unk <br />Fire Sprink Reqd? Yes No � <br />Reason G� X(571��- <br />Exstg Fire Alarm? Yest� No Unk <br />Fire Alarm Reqd? Yes No � <br />Reason � 1C157 ( l�(7 <br />Enclasure (RCW64.55) Yes No _ <br />Approved by: N1L�" Date: 7� j�� 'S <br />Comments: . �����F�p <br />I� � ti✓v� t � �4�� � +e-� � . <br />'�o ✓LES7c�'E , <br />,��c �s ��S L� . <br />�����/�- ;,;Cd�r/���i� <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Due? Yes No <br />Systems Dev. Fees <br />Public Works <br />Traffic Mitigation Due? Yes No <br />School Mitigation Fee <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 />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 />School Impact Fee Credit: <br />Total School Impact Fee Owed; <br />Comments; <br />� �� � L�ti�.� <br />Z-�L <br />