1402 SE EVERETT MALL WAY RUE 21 2017-01-13

• �RMIT# ��v � � �! FOR OFFICE USE ONLY BUILDING Bldg/TI/Addn/Rem Size Garage Size VALUATION j Number of Stories Occupancy Group �� Occupant Load � Basement Yes No _ F,i�i/Unf Type of Construction � Existing Sprinkler System? Yes No Unk Fire Sprinkler Required Yes �lo Reason � , Existing Fire Alarm Yes i� No Unk Fire Alarm Required Ye� No Reason Enclosure Law Applies Yes Deferred Submittal Re d Yes No Approved by: Date: Comments: 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 !' PLANNING Zoning Classification j Overlay/Agreement ;'� � Nonresidential Use Residential Use �� Proposed No. of Dwelling Units: f, Total No. of Dwelling Units: � j ,, Landscape or Planning Inspection ,%� needed before final? Yes %�, No ,—. — Planning Inspector: ! �� Phone #: � �� Approved by: � Date: Historic Approved by: % Date: / School Mitigation Reqc�? Yes No i — — Everett School Dist � Mukilteo School Dist # of Net New Units: % Calculated ,�'chool Impact Fee: School I pact Fee Credit: T-otal �.chool Irnpact 1 cc Ov✓cci: Com ents: PUBLIC WORKS Intake Checked By: Date: Intake Comments: PW Permit Application Subrnitted? Yes No PW Worksheet Required? Yes No PW REVIEW �`PW Reviewer: Date:__. _____ S��f PW WORKSHEET-returned to file '�PW Permit Approved, PW Permit Not Required FIRE DEPARTMENT Update/New Fire Sprinkler Yes No Existing Bldg._ Update/ New Suppression Yes No Existing Bldg. _ Update/ New Fire Service Yes No Existing Bldg. _ Approved by: , �,.,? Date: � �<( --1 S., Comments: � , � �fti