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FOR OFFICE USE ONLY /t1(5d5 _C)2-9 <br />BUILDING <br />Bld rrl/AddNRem Size <br />Garage Size <br />VALUATION <br />No. of Stones <br />Occupancy Group <br />Occupant Load <br />Basement <br />Yes <br />No <br />Fin/Unf_ <br />Type of Construction <br />Exstg S nnklerS stem? <br />Yes <br />No <br />Unk <br />Fire S rink Re d'? <br />Yes <br />No <br />Reason <br />Exstq Fire Alarm? <br />Yes <br />No <br />Unk <br />Fire Alarm Re d? <br />Yes <br />No <br />Reason <br />Enclosure (RC <br />64 55 <br />Yes <br />No <br />Approved b: <br />Date: <br />Comments <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Due? <br />Yes No <br />Systems Dev. Fees <br />Public Works <br />Traffic Mitigation Due? <br />Yes No <br />School Mitigation Fee <br />PLANNING <br />Zoning Classification <br />Oveday/Agreement <br />Nonresidential Use <br />Residential Use <br />Proposed 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 b: Date. <br />Historic Approved by Date <br />School Mitigation R d? 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 />Comments <br />PUBLIC WORKS <br />Review Required? <br />Yes No <br />Reviewer <br />Date. <br />Comments <br />��Z <br />