6424 BROADWAY ST VINCENT DE PAUL 2018-09-27

FOR OFFICE USE ONLY BUILDING Bldg/TI/Addn/Rem Size Garage Size VALUATION No. of Stories Occupancy Group Occupant Load Basement Yes No Fin/Unf Type of Construction Exstg Sprinkler System? Yes No Unk Fire Sprink Reqd? Yes No Reason Exstg Fire Alarm? Yes No . Unk Fire Alarm Reqd? Yes No Reason Enclosure (RCW .55) 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 � 1��1-�� PERMIT # � 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: (Fees: Yes/No, Explanation, Permit #'s, Amount) Water Fee? Sewer Fee? Svstem Dev. Fee? Traffic Mitiqation Fee?