3900 BROADWAY BASE FILE 2018-04-19

FOR OFFICE USE ONL1� PERMIT# � �� 6 I .. � . , . , �u,�o�r�G : _ � , � ��,�rh,� Bldg/TI/Addn/Rem Size Zoning Classification Garage Size Overlay/Agreement VALUATION Nonresidential Use � kt� 5c,�nob `� 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 Galculated 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 VIIORKS F€ES '` '° INTAKE: Checked By: Date: _ _ _. . _._... _ .. _ _ ._. ..._.... . Plan Check Fee Comments: , Building Permit ��,� Surcharge High Hazard Sites(DentaUMedical,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 '` .FIR�.DEPARTM�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 Service Yes No Existing Bldg._ Approved by: Date: Comments Z.