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• <br />• <br />FOR OFFICE USE ONLY � 4�� 2��� <br />BUILDING <br />Bldg I ddn/Rem Size �. 11 L'.7 <br />Garage Size <br />VALUATION <br />No. of Stories � <br />Occu anc Grou � � � <br />Occu ant Load /�,�i <br />Basement Yes No ✓ Fin/Unf <br />Type of Construction - `} <br />Exstg Sprinkler System? Yes _ v No __ Unk___ <br />Fire Sprink Re d? Yes _✓. No ___ <br />Reason <br />Exstg Fire Alarm? Yes � No ___ Unk___ <br />Fire Alarm Reqd? Yes ✓_ No ___ <br />Reason <br />Enclosure R W64.55 Yes No <br />A roved b , � Date: � <br />P Y:' Z. ��� � <br />Comments':� � <br />PLANNING <br />Zoning Classification E' <br />Overlay/Agreement — <br />Nonresidential Use �, � � 2:�11e � <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 Inspector: <br />Phone #: <br />Approved b : ' Date: <br />Historic Approved b : Date: ,-' <br />School Miti ation Reqd? Yes ___ No __ <br />Everett School Dist Mukilt chool Dist <br /># of Net New Units: <br />Calculated Scho act Fee: <br />School I ct Fee Credit: <br />T School Impact Fee Owed: <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 ___ Rcpt # <br />School Miti ation Fee <br />