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FOR OFFICE USE ONLY � j 5 p-Z - C5 5S <br />BUILDING <br />Bld /TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occu anc Grou <br />Occu ant Load <br />Basement Yes No Fin/Unf <br />Type of Construction <br />Exstg Sprinkler System? Yes No Unk <br />Fire S rink Re d? Yes No <br />Reason <br />Exst Fire Alarm? Yes No Unk <br />Fire Alarm Re d? Yes No <br />Reason � <br />Enclosure R W64.55 Yes No <br />A roved b ; Date: � � - � <br />Comments: <br />FEES <br />Plan Check Fee <br />Buildin Permit <br />Surchar e <br />Additional Plan Check <br />Water <br />Sewer <br />S stems Dev. Due? Yes No <br />S stems Dev. Fees <br />Public Works <br />Traffic Miti ation Due? Yes No <br />School Miti ation Fee <br />PLANNING <br />Zonin Classification �'� <br />Overlay/Agreement <br />Nonresidential Use { <br />Residential Use <br />Pro osed No. of Dwellin Units: <br />Total No. of Dwellin Units: <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Plannin Ins ector: <br />Phone #: <br />A roved b : � Date: � <br />Historic A roved b: Date: <br />School Miti ation Re d? Yes No <br />Everett School Dist M' eo School Dist <br /># of Net New Units: <br />Calculated S ool Im act Fee: <br />School I act Fee Credit: <br />Total chool Im act Fee Owed: <br />Comments: <br />�" V V'@..ori �L.:a �` lC'��. <br />��� <br />