3620 BROADWAY VERIZON 2018-07-30

FOR OFFICE USE ONLY PERMIT# �O��"' . �_ , . , , : ' _ BUILDING ' `: • „ RLAN�+IIN�. : . .. . Bldg/TI/Addn/Rem Size 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 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 Reqd? Yes_ No_ Reason Everett School Dist Mukilteo School Dist RCW 64.55 MF worksheet req'd for permit? Yes No_ #of Net New Units: Add'I RCW 64.55 docs required prior to final?Yes No CalCulated School Impact Fee: Architectural Approved By/Date: School Impact Fee Credit: Structural Approved By/Date: Total School Impact Fee Owed: Comments: Comments: Intake OK by: Intake OK by: Ok to route _ Hold _ Make this a"W"Permit? Yes No FUBLIC WORKS ��g.• 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: 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 FFR�<�EP�tRTIVI�NT .. 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 Servic Yes No Existing Bldg._ Approved by: Date: �''Tf�—�`�, Comments: �