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nio <br /> FOR OFFICE USE ONLY PERMIT#UVU fl 1D- oo1 <br /> BUILDING <br /> Bldg/TI/Addn aat,ize -3741 5 Zoning Classification 14- S <br /> Garage Size Overlay/Agreement <br /> VALUATION /5 Oo.c, Nonresidential Use <br /> Number of Stories / Residential Use � ✓\`-- <br /> Occupancy Group Uf Proposed No. of Dwelling Units: <br /> Occupant Load Total No. of Dwelling Units: <br /> Basement No Yes_ Fin / Unfin Landscape or Planning Inspection <br /> Type of Construction VI? needed before final? Yes_ No 1/--- <br /> Existing Sprinkler System? Yes_ No_Unk Planning Inspector: <br /> Fire Sprinkler Required Yes_ No_ Phone#: <br /> IReason Approved b-''t� Date:(3/24 <br /> Existing Fire Alarm Yes_ No_Unk_ Historic Approved by: Date: <br /> Fire Alarm Required Yes No_ School Mitigation Reqd? Yes_ No <br /> Reason Everett School Dist Mukilteo Sc .tr• •ist <br /> RCW 64.55 MF worksheet req'd for permit? Yes No_ #of Net New Units: <br /> Add'I RCW 64.55 docs required prior to final?Yes No_ Calculated Schoo •act Fee: <br /> Architectural Approved By/Date: (744 27/Z/1/6 School • .act Fee Credit: <br /> Structural Approved By/Date: Ta al School Impact Fee Owed: <br /> Comments: Z ' !S /zL Comments: NIC5Z f k <br /> �/v v , V 644-46-e '7'0 g +v <br /> Intake OK by: Intake OK by: Ok to route _ Hold _ <br /> Make this a"W" Permit? Yes No <br /> PUBLIC WORKS , <br /> FEES INTAKE: Checked By: Date: <br /> Plan Check Fee Comments: <br /> Building Permit <br /> Surcharge High Hazard Sites(Dental/Medical,Animals,Mortuary,etc-Review for RPBA) <br /> Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED <br /> Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) <br /> Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) <br /> Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: <br /> Water Fee 0 PW Permit Approved-PW <br /> Sewer Fee 0 See PW Review Worksheet / <br /> Systems Dev. Fee Ip,PW Permit Not Required gD-r r v4-/'r <br /> Traffic Mitigation Fee ( <br /> Public Works Fee FIRE DEPARTMENT <br /> School Mitigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg._ <br /> Update/New Detection Yes_ No_ Existing Bldg. <br /> Update/New Chemical Yes_ No Existing Bldg._ <br /> Update/New Fire Service Yes_ No_ Existing Bldg._ <br /> Approved by: Date: <br /> Comments: <br />