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� <br />�o� o�F�c� us� o��Y <br />�—_ <br />, BIJILDiNG _ <br />Bldg/TI/Addn/Rem Size � 5' � <br />Garage Size <br />VALUATIOiV '�O� � <br />No. of Stories � <br />Occupancy Group <br />Occupant Load <br />Basement Yes X 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. ) Yes No <br />Approved by: Date: i � / �j <br />Comments: <br />Z o! �- /�c � w s� <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 />�'��T # G�I �l�- � � i <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use <br />Propased 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 />Commenfs: <br />PUBLIC WORKS <br />PW Permit Required? Yes ____ No <br />Intake Checked By: Date: <br />Gomments <br />(Fees: Yes/No, Explanation, Permif #'s, Amounf) <br />Water Fee? Sewer Fee? <br />Svstem Dev. Fee7 Traffic MiticLation Fee? <br />�v <br />