1717 13TH ST EVERETT CLINIC 2021-09-08

• � FOR �FFICE USE ONLY PERMIT# � 1 �� BUILDING PLANNING Bldg/TI/Addn/Rem Size �/�� l:" Zoning Classification Garage Size Overlay/Agreement �„ VALUATION Nonresidential Use N Number of Stories Residential Use - 1_ 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 � i ` needed before final? Yes No f ExistingSprinklerSystem? Yes �' No Unk Planninglnspector: Fire Sprinkler Required Yes �' Na Phone#: Reason � j� Approve Date: Existing Fire Alarm Yes � No Unk Historic Approve by: — Date: Fire Alarm Required Yes � No School Mitigation Reqd? Yes No — — — Reason �'- �` Everett School Dist Mukilteo School Dist Enclosure Law A�plies Yes #of Net New Units: Deferred Submitt�' Req'd Yes -�� No Calculated Scho act Fee: Approved by: Date ( Scho pact Fee Credit: Comments: ° ; Total School Impact Fee Owed: % ` Comments: Intake OK by: Intake OK by: ( y UBLIC WORKS FEES INTAKE: Checked By: Date: ��" Plan Check Fee Comments: Building Permit 'V� �� e�� 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) Mechanicai Fee ❑ Public Works Permit-Concur ent 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: i -� � �