5201 EVERGREEN WAY NORTHWEST DENTAL 2018-01-03

•='OR OFFICE USE ONLY �nniT# Q�I�U� �U3C� BUILDING PLANNING Bldg/TI/Addn/Rem Size ' G 1 � Zoning Classification v(� Garage Size Overlay/Agreement VALUATION Nonresidential Use VC1'1� Number of Stories , Residential Use Occupancy Group Proposed No. of Dwelling Units: Occupant Load � � Total No. of Dwelling Units: Basement Yes No in/Unf Landscape or Planning Inspertion Type of Construction � needed before final? Yes No� Existing Sprinkler System? Yes No �Unk Planning Inspector: Fire Sprinkler Required Yes No `� Phone#: Reason A roved b p Date: pp Y: .} � �ZZ—��O Existing Fire Alarm Yes No Unk � Historic Approved by: N ,�-s Date: Fire Alarm Required Yes No School Mitigation Reqd? Yes No � Reason Everett School Dist Mukilteo School Dist Enclosure Law Appli s Yes #of Net New Units: Deferred Submittal R 'd Yes No Calculated School Impact Fee: Approved by: Date � - ((� School Impact Fee Credit: Comments: ' Total School Impact Fee Owed: Comments: t�o eX-�� rk- a�� a' �- � �.,:5 ��- PUBLIC WORKS FEES Intake Checked By: Date: Plan Check Fee Intake Comments: _�� J s�£ �>�r.-�AdS�E�f� S.�S• ��'V `�S= �� I � -- ' Building Permit . Surcharge '� ` {`��.�5- � � "�SS tK-f'LKSr'uC L.CS� Additional Plan Check PWY Permit Application Submitted? Yes No�_ Plumbing Fee PW Worksheet Required? Yes No Mechanical Fee PW REVIEW: PW Reviewer: Date: � ;, ��6 Ping Bldg Review Fee �SEE PW WORKSHEET-refurned 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 No` Existing Bldg. / School Mitigation Fee Update/New Chemical Yes No �Existing Bldg._ Update/New Fire Service Yes No /Existing Bldg._ Approved by: Date: j—� `-) Comments: � ✓'wl ��Cs J S �"� �u�r.i�� `t-v:`� /+�'�P •-}-e�rcc v-F i �n.��r'a .J�v�cw -�—, ��