210 SW EVERETT MALL WAY BASE FILE 2019-11-19

FOR OFFICE USE ONLY PERMIT# �� I �J�� '�� BUILDING PLANNING Bidg/TI/Addn/Rem Size Zoning Classification – Garage Size Overlay/Agreement ^ VALUATION Nonresidential Use C_�4'�V �� Number of Stories Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupant Load Total No. of Dwelling Units: Basement No Yes Fin / Unfin Landscape or Planning Inspection Type of Construction needed before final? Yes_ No l� Existing Sprinkler System? Yes No Unk Planning Inspector: Fire Sprinkler Required Yes No Phone#: Reason Approved by: —� Date: S �i ��'y'� Existing Fire Alarm Yes No Unk Historic Approved by: Date: Fire Alarm Required Yes No School Mitigation Reqd? Yes_ No_ Reason Everett School Dist Mukilte ool Dist RCW 64.55 MF worksheet req'd for permit? Yes No #of Net New Units: Add'I RCW 64.55 docs required prior to final?Yes No Calculated SChool I aCt Fee: Architectural Approved By/Date: School Impact ee Credit: Structural Approved By/Date: " rj �- Total School Impact Fee Owed: Comments: Comments: �� � � c�, o�' � � Intake OK by: Intake OK by: Ok to route _ Hold _ Make this a"W" Permit? Yes No PUBLIC WORKS FEES INTAKE: Checked By: Date: Plan Check Fee Comments: Building Permit `I`v� �� ,� Surcharge High Hazard Sites(Dental/Medical,Animal"s, Mortuary,etc-Review for RPBA) Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mit./RPBA- NOT REQUIRED Plumbing Fee ❑ Route for Public Works Review(bldg folder, PW Worksheet) Mechanical Fee ❑ Public Works Permit-Concurrent Review(separate green folder) Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: Water Fee ❑ PW Permit Approved- PW Sewer Fee ❑ See PW Review Worksheet Systems Dev. Fee ❑ PW Permit Not Required Traffic Mitigation Fee Public Works Fee FIRE DEPARTMENT School Mitigation Fee Update/New Sprinklers Yes_ No_ Existing Bldg._ Update/New Detection Yes No Existing Bldg._ Update/New Chemical Yes No Existing Bldg._ Update/New Fire Service Yes No Existing Bldg._ Approved by: Date: Comments: . 7i