1000 SE EVERETT MALL WAY DEPT OF EARLY LEARNING 2017-01-13

� � I I�^ FOR OFF/ CE USE ONL Y � l r J I�� ` BUILDING Bld /TI/Addn/Rem Size G� 3 Garage Size VALUATION No. of Stories Nf� Occu anc Grou � Occu ant Load � S Basement Yes No Fin Unf Type of Construction / - /z Exstg Sprinkler System? Yes No � Unk Fire S rink Re d? Yes No � Reason Exst Fire Alarm? Yes ��No Unk Fire Alarm Re d? Yes , No � � Reason �- �C S �(, �. Enclosure R W.55 Yes No � A roved b: �1 i Date: -� �� Comme s`. FEES Plan Check Fee Buildin Permit Surchar e Additional Plan Check W ater Sewer S stems Dev. Due? Yes No S stems Dev. Fees Public Works Traffic Miti ation Due? Yes No School Miti ation Fee PLANNING Zonin Classification Overlay/Agreement Nonresidential Use Residential Use Pro osed No. of Dwellin Units: Total No. of Dwellin Units: Landscape or Planning Inspection needed before final? Yes No Plannin Ins ector: Phone #: A roved b : Date: Historic A roved b: Date: School Miti ation Re d? Yes No Everett School Dist Mukilteo School Dist # of Net New Units: Calculated School Im act Fee: School Im act Fee Credit: Total School Im act Fee Owed: Comments: � �o� r � -��'.i�., �ti1liL� �� PUBLIC WORKS Review Re uired? Yes No '/ Reviewer. SC�'F Date: r Z—�i(.� �- Comments: � j�� C�� � l`�Yl.�� !J�� .