1000 SE EVERETT MALL WAY SUITE 200 KELLER WILLIAMS 2017-01-13

� FOR OFFICE USE ONLY BUILDING Bldg/TI/Addn/Rem Size l L�Z C� � Garage Size VALUATION No. of Stories � Occupanc Group � Occupant Load � � Basement Yes No Fin/Unf Type of Construction -- Exstg Sprinkler System? YeS No ✓ Unk Fire Sprink Reqd? Yes No ✓ Reason Exst Fire Alarm? Yes No Unk � Fire Alarm Reqd? Yes No ✓ / — — Reason Enclosure k .55) Yes No `� Approv by ` Date: � ( 2 - � �o Com e�ts; , '" v FEES Plan Check Fee Building Permit Surcharge Additional Plan Check Water Sewer S stems Dev. Due? Yes No S stems Dev. Fees Public Works Traffic Mitigation Due? Yes No School Mitigation Fee • � l V/ � ✓' V�' PLANNING Zoning Classiflcation OverlayJAgreement Nonresidential Use Residential Use Proposed No. of Dwellin Units: Total No. of Dwelling Units: Landscape or Planning Inspection needed before final? Yes No Plannin Inspector: Phone #: Approved b : Date: Historic Approved b : Date: School Miti ation 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: y'�-i /�,I � ` - li � � 111�i-�-� - 11 I'� PUBLIC WORKS Review Re uired? Yes No Reviewer: Date: Comments: ►�o � y�i t �'�./ I CV �V� ,��