3900 BROADWAY BASE FILE 2018-04-19

�o� oFFIC� USE oNLY �ERM�,-� - O BUILDING PLANNINC� Bldg/TI/Addn/Rem Size Zoning Classification � (.t ,� Garage Size Overlay/Agreement VALUATION Nonresidential Use a'��'" ...�---- 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 b : Date: 73 � � 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: �E��- —QO � � ��f-�/-�/ G�l��r�' /t. G`oGLc/1'c � <J Intake OK by: Intake Q�� Ok to route Hold �� Make this a "W' ermit? Yes No FUBLIC WORKS FEES 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 Bidg Review Fee PW REVIEW: PW Reviewer: •ff�L� Date: t'�•�'/ �' 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 Bidg._ 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: z2