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�J <br />FOF� OFFICE USE ONLY <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupancy Group <br />�ccupant Load <br />Basement Yes No Fin/Unf <br />Type of Construction �!Z _ J2 G(�� <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 (RC . 64.55) Yes No <br />Addntl Enc Do s qd? Yes No <br />Approved by; � �ate: � <br />Comment�: � <br />'�, <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 �ev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <br />� � � J�q �b <br />F�I IT # d D �" � � <br />. � <br />PLANNING <br />Zoning Classification <br />Overlay/Agreement <br />Nanresidential Use <br />�eside.ntiai Use <br />F'roposed No. of Dwelling Units: <br />Total Np. 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 �lew Units: <br />Calculated School Impact Fee: <br />School Impact Fee Credit: <br />Total School Impact Fee Owed: <br />Comments� <br />PUBLIC WORKS <br />PW Permit Required? Yes No <br />Intake Checked By: Date: <br />Comments: <br />Fire Sprinkler Required by Fire Dept? Yes_ No <br />(Fees: Yes/No, Explanation, Permit #'s, Amount) <br />Water Fee? Sewer Fee? <br />System De_v. Fee? Traffic MiticLation Fee? <br />2�2 <br />