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,9LSd3 -c►r� <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bld /TI/Addn/Rem Size <br />„C 4 d 0 <br />Garage Size <br />t <br />VALUATION <br />)—no <br />No. of Stories <br />Occupancy GroupS <br />Occu ant Load <br />Basement <br />Yes No VFinlUnf <br />Type of Construction <br />1 11 _ 13 <br />Exstg Sprinkler System? <br />Yes No Unk <br />Fire S rink Re d? <br />Yes No <br />Reason <br />Cc i' g <br />Exstg Fire Alarm? <br />Yes No Unk <br />Fire Alarm Re d? <br />Yes V1 No <br />Reason <br />Co r)r <br />Enclosure RC 64.55 <br />Yes No <br />Approved by Date: <- <br />Comments:i <br />s v <br />use W 44 _e Aa of e <br />0, 0 82 �S7 x Z400 di <br />4 4-. a-7- ) s <br />PLANNING <br />Zoning Classification <br />" <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 />Planninq Inspector: <br />Phone #: <br />Approved b : Date: 3 <br />157 <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 <br />Sewer <br />Systems Dev. Due? <br />Yes No <br />Systems Dev. Fees <br />Public Works <br />c?S <br />Traffic Mitigation Due? <br />Yes No Rc t # <br />School Mitigation Fee <br />