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� <br />• <br />FOR OFFICE USE ONLY <br />BUILDING <br />Bld /TI/Addn/Rem Size <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occu anc Grou <br />Occu ant Load <br />Basement Yes No Fin/Unf <br />Type of Construction <br />Exstg Sprinkler System? Yes No Unk <br />Fire S rink Re d? Yes No <br />Reason <br />Exst Fire Alarm? Yes No Unk <br />Fire Alarm Re d? Yes No <br />Reason <br />Enclosure R r W64.55 Yes No <br />A roved b : Date: <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 <br />School Miti ation Fee <br />• <br />��5�0�"C���� <br />PLANNING <br />Zonin Classification <br />Overlay/Agreement <br />Nonresidential Use <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 Ins ector: <br />Phone #: <br />A roved b : Date: � _=�' <br />Historic A roved b: Date: <br />School Miti ation Re d? Yes No <br />Everett School Dist Mukilteo School Dist <br /># of Net New Units: <br />Calculated School Im act Fee: <br />School Im act Fee Credit: <br />Total School Im act Fee Owed: <br />Comments: <br />�(�" �: V �'••,� ��.sL; � �c:�y <br />2` � <br />