1728 W MARINE VIEW DR EVERETT CLINIC 2017-06-21

FOR OFFICE USE ONLY PERMIT# BUILDING PLANNING 7 Bldg/TI/Addn/Rem Size t 7 Zoning Classification Garage Size Overlay/Agreement VALUATION Nonresidential Use 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 Inspec on Type of Construction needed before final? Y s No_ Existing Sprinkler System? Yes V" No Unk Planning Inspector: Fire Sprinkler Required Yes V No Phone#: Reason Approved by: Date: Existing Fire Alarm Yes ✓No Unk Historic Approved b/ Date: Fire Alarm Required Yes No School Mitigation eqd? Yes No Reason Everett School Vist Mukilteo School Dist Enclosure Law Aalies Yes #of Net New Vnitq. Deferred Submi I Req'd Yes No Calculated S hool Impact Fee: Approved by: Date: _ G School Imp ct Fee Credit: Comments: Total School Impact Fee Owed: Comments: � _ Y� Intake OK by: Intake OK by: PUBLIC WORKS FEES INTAKE: Checked By: __ Date:_ Plan Check Fee Comments: Building Permit Surcharge High Hazard Sites(Dental,Medical,Animals,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:_&&6 Water Fee ❑ PW Permit Approved-PW Sewer Fee ❑ See PW Review Worksheet Systems Dev.Fee 12 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: — - U