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FOR OFFICE USE ONLY <br />BUILDING <br />Bld ITIIAddn/Rem Size <br />GjrageySizg� <br />VALUATION <br />No. of Stones <br />Occupancy Group <br />Occu ant Load <br />Basement <br />Yes <br />No FinlUnf <br />Type of Construction <br />Exsiq Sprinkler System? <br />Yes. <br />No Unk <br />Fire S rink Re d? <br />Yes <br />No <br />Reason <br />Exstcl Fire Alarm? <br />Yes <br />No Unk <br />Fire Alarm Re d? <br />Yes <br />No <br />Reason <br />Enclosure RCW6455 <br />Yes <br />No <br />Approved by <br />Date: <br />Comments: <br />PLANNING <br />Zoning Classification <br />Overlay/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 />Planmnq Inspector: <br />Phone #: <br />Arirovetl by. Date: <br />Historic Approved by Date. <br />School Mitigation Re 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 />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water i <br />Sewer <br />Systems Dov. Due? <br />Yes No <br />Systems Dev. Fees <br />_ <br />Public Works <br />Traffic Mitigation Due? <br />Yes No Rc .t # <br />School Mitigation Fee <br />