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

. F*IT#S� FOR OFFICE USE ONLY BUILDING PLANNING Bldg/TI/Addn/Rem Size Zoning Classification Garage Size Overlay/Agreement VALUATION Nonresidential Use –A ic2-4 Number 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 Existing Sprinkler System?Yes No Unk Planning Inspector: Fire Sprinkler Required Yes_ No— Phone#: Reason Approved y: Date: �t Existing Fire Alarm Yes No Unk Historic Approved by: Date: Fire Alarm Required Yes No School Mitigation Reqd? Yes No Reason Everett School Dist Mukilteo School Dist Enclosure Law Req'd Yes #of Net New Units: Deferred Submittal Req'd Yes No Approved by: Date: Calculated School Impact Fee: Comments: School Impact Fee Credit: Total School Impact Fee Owed: Comments: FEES PUBLIC WORKS Plan Check Fee PW Permit Required? Yes No Building Permit Intake Checked By: Date: Surcharge Comments: Additional Plan Check Plumbing Fee Mechanical Fee Ping Bldg Review Fee Fire Sprinkler Required by Fire Dept?Yes_No Water Fee (Fees: Yes/No, Explanation, Permit#`s,Amount) Sewer Fee Water Fee? Sewer Fee? Systems Dev. Fee Traffic Mitigation Fee Public Works Fee System Dev. Fee? Traffic Mitigation Fee? School Mitigation Fee