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• <br />• <br />� �5o'Z�c�(� <br />FOR OFF/CE USE ONLY <br />BUILDING <br />Bldg/TI/Addn/Rem Size t� �.� � �% <br />Garage Size <br />VALUATION <br />No. of Stories l <br />Occupancy Group ` ( � <br />Occupant Load '=�-� <br />Basement Yes No'� Fin/Unf <br />Type of Construction �% - <br />Exstg Sprinkler System? Yes No iJ Unk <br />Fire Sprink Reqd? Yes No 'f <br />Reason <br />Exstg Fire Alarm? Yes �✓ No Unk <br />Fire Alarm Reqd? Yes � No _ <br />Reason <br />Enclosure (RC,W64.55) Yes No <br />— � <br />Approved by: ►� Date: ` - �j • � , <br />Comments: <br />: <br />� <br />PLANNING <br />Zoning Classification 1 � � <br />Overlay/Agreement � <br />Nonresidential Use �- � � �-�U����v� <br />Residential Use-` <br />Proposed No. of Dwelling Units: <br />Total No. of Dwelling Units: <br />Landscape or Plan ' g Inspection <br />needed befor inal? Yes No <br />Plannin nspector: <br />Ph�ne #: <br />Approved by: Date: ;3 C I S <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 F e Owed: <br />Comments: <br />r. <br />FEES <br />Pian 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 Rcpt # <br />School Mitigation Fee <br />Z� Z <br />