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

• d �� b�G=l'=�� 9��" ��9�...� BUILDING Bldg/TI/Addn/Rem Size Garage Size VALUATION Number of Stories Occupancy Group Occupant Load Basement Yes No Fin/Unf Type of Construction Fxistinc� Sprinkler 5ystem? Yes No Unk Fire Sprinkler Required Yes No Reason Existing Fire Alarm Yes No Unk Fire Alarm Required Yes No Reason Enclosure Law Applies Yes Deferred Submittal Req'd Yes No Approved by: y�� L� Date: (, � (p 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 �Rnnrr # F-�� P��' �'_1 � PLANNING Zoning Cfassification 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: Nistoric Approved by: Date: 5chool Mitigation Reqd? Yes No Everett Schooi Dist Mukilteo School Dist # of Net New Units: Calcufated School tmpact Fee: School Impact Fee Credit: Total School Impact Fee Owed: Comments: PUBLIC WORKS Intake Checked By: Date: Intake Comments: PW Permit Application Submitfed? Yes No PW Worksheet Required? Yes No PW REVIEW: PW Reviewer: Date: SEE PW WORKSHEET-returned to file PW Permit Approved, PW Permit Not Required FIRE DEPARTMENT Update/New Fire Sprinkler Yes No �� Existing Bld Updafe/ New Suppression Yes No .�.� Existing Bld Update/ New Fire Se,rvice� Y�s No , Existinq Bid Date: { - � _ Comments: / �� -� �,��, � 1�� ; L t1 ��GlXI. ��,• �-f-�� c� l� � ,D �f�