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� <br />�o� o����� ��� o �� � <br />. . _ ._ _ __ _.. .. , <br />- BUICDI�(G . _ _ . : . <br />Bldg/T(/Addn/Rem Size �� � �Q� <br />Garage Size <br />VALUA7[OiU <br />No. of Stories <br />Occupancy Group <br />Occupant �oad <br />Basement Yes No Fin/Unf <br />Type of Constructian <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 />Enciosure (RCW64.55) Yes No <br />Approved by: Date: <br />Commenfs: <br />�' �� - s�� ��' . <br />�1�' � � <br />. .� FEES . _ <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Addifionaf Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping B(dg Review Fee <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Worl<s Fee <br />School Mitigation Fee <br />PF 1T' # C_ L�l, tx-� -� ��I <br />� . <br />::_., __ <br />.. . : :. <br />. :�, . PLAI��Il1VG_ . • <br />Zoning Glassificafion ' � <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use � � � <br />Proposed No. of Dwelling Units: <br />Totaf No. of Dwelling Units: _„l_---- <br />�- <br />Land�cape ar Planning.Ins�ecfion <br />needed before #�t�al?' Yes No <br />Ylanning,l�ispecior: <br />Pho�re #�; <br />Ar�proved by: Date: -L� Z��� j�� <br />Historic Approved by: Dafe: <br />School Mitigation Reqd? Yes No <br />Everett Schoof Dist Mukilteo School Dis# <br /># of Nei New Units <br />Calculated Schoo] lmpact Fee: <br />School lmpact Fee Credit: <br />TotalSchopl'fmpact Fee Owed: <br />Comments: � � <br />%� <br />,... ,:., , <br />PUB.L[_C WORKS : - . <br />PW Permit Required? Yes No <br />Intake Ghecked By;_'�__. Date: <br />Gommenfs: <br />(Fees: Yes/No, F�planation, Permit #'s, Amount) <br />Water Fee? Sewer Fee? <br />S stem Dev. Fee? Traffic Mifipation Fee? <br />��� <br />