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� k,t� 0 <br />FOR OFFICE USE ONLY ��5 a 2- `C'C�� <br />BUILDING <br />Bidg/TI/Addn/Rem Size o� o Od <br />Garage Size <br />VALUATION <br />No. of Stories <br />Occupancy Group — � S <br />Occupant Load <br />Basement Yes No Fin/Unf <br />Type of Construction � <br />Exstg Sprinkler System? Yes No Unk <br />Fire Sprink Reqd? Yes � No <br />Reason <br />Exstg Fire Alarm? Yes � No Unk_ <br />Fire Alarm Reqd? Yes � No <br />Reason <br />Enclosure (R 64.55) Yes No <br />Approved b : Date: • � '' �, <br />Comment . <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 Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: <br />Approved by: Date: <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: <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Due? Yes No <br />Systems Dev. Fees <br />Public Works <br />Traffic Mitigation Due? Yes No Rcpt # <br />School Mitigation Fee <br />