3822 COLBY AVE WESTERN WA MEDICAL GROUP 2017-01-13

FOR OFFI CE USE' ONL Y I �LANNING Zoning Classification Overlay/Agreement Nonresidential Use Residential Use Proposed No. of Dwelling Units: Total No. of Dwelling Units: Landscape or Planning Inspection needed before final? Yes No Planning Inspector: Phone #: Approved by: Date: Historic Approved by: Date: Schooi Mitigation Reqd? Yes No Everett School Dist Mukilteo School Dist # of Net New Units: Calculated School Impact Fee: School impact Fee Credit: Total School Impact Fee Owed: Comments: . � r7o r e�� a �� c �tr��- � sj�y,� PFRMIT # V I �-l� �/ `> � � � �-�l BUILDING Bld /TI/ ddn/Rem Size � Z-3 �i Garage Size VALUATION Number of Stories 7 � Occupancy Group /� Occupant Load Basement Yes No Fin/Unf Type of Construction ., j�� Existing Sprinkler System? Yes No Unk Fire Sprinkler Required Yes � No Reason ' Existing Fire Alarm Yes I/ No Unk Fire Alarm Required Yes ✓ No Reason � Enclosure Law Applies Yes Deferred Submi �I Req'd Yes � No Approved by: Date: - _ � Comments: r�� , �� FEES Plan Check Fee Building Permit Surcharge Additional Plan Check Plumbing Fee Mechanical Fee Ping Bldg Review Fee Water Fee Sewer Fee Systems Dev. Fee Traffic Mitigation Fee Public Works Fee School Mitigation Fee � PUBLIC WORKS Intake Checked By: ,Y � Date: .S-/ j- Zp/� Intake Comments: PW Permit Application Submitted? Yes No� PW Worksheet Required? Yes No �_ PW REVIEW: PW Reviewer- Date: S-/y- �f� N� SEE PW WORKSHEET-returned to file PW Permit Approved, �PW Permit Not Required FIRE DEPARTMENT Update/New Sprinklers Yes • No Existing Bldg.� Update/ New Detection Yes No Existing Bldg. �1 ' Update/ New Chemical Yes No Existing Bldg. Update/ New Fire Service Yes No Existing Bldg. _ Approved by: Date: _-(,, -- ( � Comments: �� .. (� � i�, �c�cl �vt:�cJ%�l-'' 4v1� ��1.