8609 EVERGREEN WAY COMMUNITY HEALTH CENTER 2018-10-25

• FOS OFFICE USIE ONLY OERMIT# BUILDING PLANNING BIdgfTI/Addn/Rem Size Zoning Classification Garage Size Overlay/Agreement VALUATION Nonresidential Use Number of Stories ` Residential Use Occupancy Group Proposed No. of Dwelling Units: i Occupant Load ; Total No. of Dwelling Units: Basement Yes_ No-Fin/Unf Landscape or Planning Inspection Type of Construction needed before final? Yes No Existing Sprinkler System? Yes % No Unk Planning Inspector: Fire Sprinkler Required Yes No Phone#: Reason Approved by: Date: Existing Fire Alarm Yes_ No Unk Historic Approved by: Date: Fire Alarm Required Yes_ No School Mitigation Regd?'Yes No Reason Everett School Dist Mukilteo School Dist Enclosure Law Applies Yes #of Net New Units: Deferred Submiftal Req'd Yes No Approved by` ' Date: Calculated School Impact Fee: Comments-" School Impact Fee Credit. Total;School Impact Fee Owed: Comments: FEES PUBLIC WORKS Plan Check Fee Intake Checked By: Date: Building Permit Intake Comments: Surcharge Additional Plan Check PW Permit Application Submitted? Yes No Plumbing Fee PW Worksheet Required? Yes No Mechanical Fee PW REVIEW: PW Reviewer: Date: Ping Bldg Review Fee SEE PW WORKSHEET-returned to file Water Fee PW Permit Approved, PW Permit Not Required Sewer Fee Systems Dev. Fee FIRE DEPARTMENT Traffic Mitigation Fee Update/New Sprinklers Yes No_ Existing Bldg. Public Works Fee Update/New Detection Yes V No Existing Bldg. School Mitigation Fee Update/New Chemical Yes No Existing Bldg. Update/New Fire Service Yes No / Existing Bldg. Approved by: Date: Comments: yvz,k- 3J