4919 EVERGREEN WAY QFC 2018-01-03

• FOR OFFICE USE ONLY �ERMIT#� �� D BUILDING PLANNING Bldg/TI/Addn/Rem Size Zoning Classification Garage Size Overlay/Agreement VALUATION Nonresidential Use Number of Stories Residential Use Occupancy Group Proposed No. of Dweliing Units: Occupant Load Total No. of Dwelling Units: Basement Yes No Fin/Unf Landscape or Planning Inspection T pe 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 Miti ation Reqd? Yes No Reason Everett School Dist Mukilteo School Dist Enclosure Law Applies Yes #of Net New Units: oeferred Submittal Req'd Yes No Calculated School Impact Fee: Approved by: Date: � School Impact Fee Credit: Comments: Total School Impact Fee Owed: Comments: PUBLIG WORKS FEES Intake Checked By: Date: Plan Check Fee Intake Comments: Building Permit 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 PermitApproved, PW Permit Not Required Sewer Fee Systems Dev. Fee FIRE DEPARTMENT Traffic Miti ation Fee Update/New Sprinklers Yes No Existin Bldg._ Public Works Fee Update/New Detection Yes No Existin Bld . School Miti ation Fee Update/New Chemical Yes No Existin Bldg._ Update/New Fire Service Yes No Existing Bldg._ Approved b : Date: Comments: �� +�- �l� ��- w�I�1�^ ��r� �'eNZ� �i