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0 <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bldg/TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupancy Group <br />Occupant I-oad <br />Basement <br />Yes _ <br />No _ Fin/Unf <br />Type of Construction <br />Exstg Sprinkler System? <br />Yes <br />NO Unk_ <br />Fire Sprink Reqd? <br />Yes _ <br />No_ <br />Reason <br />Exstg Fire Alarm? <br />Yes <br />No _ Unk_ <br />Fire Alarm Reqd? <br />Yes <br />No <br />Reason <br />Enclosure (RCW64.55) <br />Yes _ <br />No — <br />Ad . dnt] Enc Dods Rqd? <br />Yes <br />No _ <br />Approved by: <br />Date: 2 - <br />Comments l <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Plumbing Fee <br />Mechanical Fee <br />Ping Bldg Review Fee <br />Water Fee <br />Sewer Fee <br />Systems Dev. Fee <br />Traffic Mitigation Fee <br />Public Works Fee <br />School Mitigation Fee <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 pection <br />needed before fi Yes _ No _ <br />Planning In ector: <br />Ph_one #: <br />pproved by:-,M�sDate: <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes No <br />Everett School Dist M o School Dist <br /># of Net New Uni <br />Ca ated School Impact Fee: <br />School Impact Fee Credit: <br />Total School Impact Feeowed: <br />Comments: <br />PUBLIC WORKS <br />PW Permit Required? Yes No <br />Intake Checked By: Date: <br />Comments: <br />Fire Sprinkler Required by Fire Dept? Yes No <br />(Fees: Yes/No, E)(planation, Permit #'s, Amount) <br />Water Fee? <br />Sewer Fee? <br />System Dev. Fee'? <br />Traffic Mitigation Fee? <br />