9930 EVERGREEN WAY THERAPEUTIC HEALTH SERVICES 2017-04-19

�Y1��cz—az FOR OFFICE USE ONLY BUILDING PLANNING Bldg/TI/Addn/Rem Size Zoning Classification Garage Size Overlay/Agreement VALUATION Nonresidential Use No. of Stories Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupant Load Total No.of Dwelling Units: Basement Yes No Fin/Unf Landscape or Planning Inspection Type of Construction needed before final? Yes No Exstg Sprinkler System? Yes No Unk Planning Inspector: Fire Sprink Reqd? Yes No Phone#: Reason Approve by: Date: IZ / Exstg Fire Alarm? Yes No Unk Historic Approved by: Date: Fire Alarm Reqd? Yes No School Mitigation Reqd? Yes No Reason I Everett School Dist Mukilteo School Dist Enclosure RCW64.55 Yes No #of Net New Units: Approved by: Date: Calculated School Impact Fee: Comments: School Impact Fee Credit: Total School Impact Fee Owed: Comments: / G�hr 6 CIe-C Slr1'77e- re- 2v, FEES Plan Check Fee Building Permit Surcharge Additional Plan Check Water Sewer Systems Dev. Due? Yes No Systems Dev. Fees Public Works Traffic Mitigation Due? Yes No Rcpt# School Mitigation Fee