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rl� ql� 9 <br />5 s ij FU_ <br />—4))�019137- <br />FOR OFFICE USE ONLY I) (5 G 3 - o z� <br />BUILDING <br />Bld /TI/Addn/Rem Size <br />2- <br />Garage Size <br />VALUATION <br />I U v <br />No. of Stories <br />1 <br />Occupancy Group <br />- <br />Occupant Load <br />T 3 0 <br />Basement <br />Yes No Fin/Unf <br />Type of Construction <br />Exstg Sprinkler System? <br />Yes _ No l/Unk <br />Fire S rink Reqd? <br />Yes t'No <br />Reason <br />(. <br />Exstg Fire Alarm? <br />Yes No ✓ Unk_ <br />Fire Alarm Reqd? <br />Yes V No <br />Reason <br />C 0 P�, <br />Enclosure RCW64.55) <br />Yes _ No <br />Approved by: 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 Inspect'on <br />needed before final? Ye No <br />Planning Inspecto : <br />Phone #: `Z�7 — -7 f 3 <br />Approved b Date: 2 2'0 / <br />Historic Approved by: Date: <br />School Mitigation Reqd? 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: C,,- <br />FEES <br />Plan Check Fee <br />,,ll <br />�`4_ -777 <br />Building Permit <br />nj Z-1 C 4(/ <br />Surcharge <br />4 SC) <br />Additional Plan Check <br />EEO: <br />Water <br />ff(00 Q� <br />Sewer <br />-7p -a) <br />Systems Dev. Due? <br />Yes No <br />Systems Dev. Fees <br />Public Works <br />Traffic Mitigation Due? <br />Yes No Rc t # <br />School Mitigation Fee <br />eW 16 o3-of ? Pd &A012011 <br />