15 SW EVERETT MALL WAY VIDA HEALTH 2018-05-21

FOR OFFICE USE ONLY PERMIT# �l Vt�O�o�� BOILDING PLANNING BldgfTl/Addn/Rem Size Zoning Classification Garage Size Overiay/Agreement VALUATION Nonresidential Use Number of Stories Residentiai 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 Enclosure Law Applies Yes #of Net New Units: Deferred Submittal Req'd Yes No Calculated School Impact Fee: Approved by: ,�'`fl��' Date: 11 School Impact Fee Credit: Comments Total School Impact Fee Owed: Comments: Intake OK by: Intake OK by: PUBLIC WORKS ' _ < FEES INTAKE: Checked By: Date: Plan Check Fee Intake Comments: Building Permit Surcharge Additional Plan Check ❑ Public Works/Sys Dev/Traffic Mitigation-NOT REQUIRED Plumbing Fee ❑ Route for Public Works Review(bidg folder, PW Worksheet) Mechanical Fee ❑ Public Works Permit-Concurrent Review separate reen folder Ping Bidg Review Fee PW REVIEW: PW Reviewer: Date: �O vZ8"��D Water Fee {cU PW Permit Approved-PW Sewer Fee ❑ See PW Review Worksheet Systems Dev. Fee ❑ PW Permit Not Required Traffic Mitigation Fee Public Works Fee FIRE DEPA TMENT 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: yG��`�z� Comments: