1130 SE EVERETT MALL WAY SUITE #B JERSEY MIKES SUBS 2017-04-20

• FOR OFFICE USE ONLY BUILDING Bidg/TI/Addn/Rem Size Garage Size VALUATION Number of Stories Occupancy Group Occupant Load Basement Yes No Fin/Unf Type of Construction Existing Sprinkler System? Yes No Unk Fire Sprinkler Required Yes No Reason Existing Fire Alarm Yes _ No Unk Fire Alarm Required Yes No Reason Enclosure Law Req'd Yes Deferred Su ittal Req'd Yes No Approved b : � Date:" Comments: �j I � /�j � 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 ��T# .�� c�a��-o � � PLANNING 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: School 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: PUBLIC WORKS PW Permit Required? Yes No Intake Checked By: Date: Comments: Fire Sprinkler Required by Fire Dept? Yes_ No (Fees: Yes/No, Explanation, Permit #'s, Amount) Water Fee? Sewer Fee? System Dev. Fee? Traffic Mitigation Fee? �Z