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FOR OFFICE USE ONLY <br />BUILQING <br />Bldg/TI d /Rem Size ,$' , <br />Garage Size <br />VALUATION ��S' <br />No. of Stories <br />Occupancy Group %� <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 />Exstg Fire Alarm? Yes No Unk <br />Fire Alarm Reqd? Yes No _ <br />Reason <br />Enclosure (RCW64.55) Yes No _ <br />Approved by: Date: S /�f'� <br />Comments: Zo`� �2G `� �f+� <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 />►_J <br />-� l5 (�% -1�3� <br />PLANNING <br />Zoning Classification � � <br />Overlay/Agreement -- � <br />Nonresidential Use �' <br />Residential Use S�" <br />Proposed No. of Dwelling Units: -� <br />Total No. of Dwelling Units � <br />Landscape or Pianning Insp�ction <br />needed before final? Yes No <br />Planning Inspecto . <br />Phone #: <br />Approved by: —� Date: �' ('j� l S <br />Historic Approved by: Date: � <br />i <br />School Mitigation Reqd? Yes _ �{6 _ <br />Everett School Dist Muk'tlYeo School Dist <br /># of Net New Units: <br />Calculated School Im�act Fee: <br />School Impact Fee Credit: <br />Total School pact Fee Owed; <br />Comments: <br />