1717 13TH ST FLOOR 2 MEDICAL CENTER 2021-09-08

• FOR OFFICE USE ONLY • PERMIT# r D- ZO BUILDING ' PLANMNG Bldg/TI/Addn/Rem Size Zoning Classification Garage Size Overlay/Agreement VALUATION Nonresidential Use Number of Stories Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupant Load Total No. of Dwelling Units: Basement No Yes Fin / Unfin Landscape or Planning Inspection Type of Construction needed before final? Yes No Existing Sprinkler System? Yes No Unk Planning Inspector: Fire Sprinkler Required Yes No Phone#: Reason Approved by: Date: Existing Fire Alarm Yes No Unk Historic Approved by: Date: Fire Alarm Required Yes No School Mitigation Reqd? Yes No Reason Everett School Dist Mukilteo School Dist RCW 64.55 MF worksheet req'd for permit? Yes_ No #of Net New Units: Add'I RCW 64.55 docs required prior to final?Yes No Calculated SChool Impact Fee: Architectural Approved By/Date: School Impact Fee Credit: Structural Approved By/Date: Total School Impact Fee Owed: Comments: ��ec, �� v�� Q� t�.� Comments: ��v�d b�, � �!/�`/�,'7 Intake OK by: Intake OK by: Ok to route Hold Make this a "W" Permit? Yes No PUBLIC WORKS FEES INTAKE: Checked By: Date: Plan Check Fee Comments: Building Permit Surcharge High Hazard Sites(Dental/Medical,Animals, Mortuary, etc-Review for RPBA) Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) MechaniC81 Fee ❑ Public Works Permit-Concurrent Review(separate green folder) Ping Bidg Review Fee PW REVIEW: PW Reviewer: Date: Water Fee ❑ PW Permit Approved- PW Sewer Fee ❑ See PW Review Worksheet Systems Dev. Fee ❑ PW Permit Not Required Traffic Mitigation Fee Public Works Fee FIRE DEPARTMENT School Mitigation Fee Update/New Sprinklers Yes No Existing Bldg._ Update/New Detection Yes No Existing Bldg._ Update/New Chemical Yes No Existing Bldg._ Update/New Fire Service Yes No Existing Bldg._ Approved by: Date: Comments: l' G/G �