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FOR OFFICE USE ONLY <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />Garage Size <br />VALUATION <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: ( <br />Comments: <br />�� �,C2�oo� <br />PLANNING <br />Zoning Classification �- <br />Overlay/Agreement �il �� �' <br />Nonresidential Use ����(�j�� �,l � ��- � <br />Residential Use � '� � <br />���. �. <br />Proposed No. of Dwelling Units: � <br />Total No. of Dwelling Units: +(3� � <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: - <br />Phone #: �- <br />Approved y: Date: � <br />Historic Approved by: �--' Date: ' <br />School Mitigation Reqd? Yes No �/ <br />V <br />Everett School Dist Mukilieo School Dist <br /># of Net New Units: <br />Calculated School Impact Fee: � <br />School Impact Fee Credit: ��� <br />Total School Impact Fee Owed: � ��-� <br />� <br />Comments: � <br />� �� �"'Ur�� �'�,� �-t�'K s {7 r1���'���5 <br />�.��u�:,,�d �,no� --�' op� ����- �-�z <br />, -� <br />i���,.;�si YJf ��.; <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 Rcpt # <br />School Mitigation Fee <br />�� <br />,�, <br />