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

FOR OFFICE USE ONLY PERMIT# ��I��d�� BUILDING PLANNING Bldg/TI/Addn/Rem Size Zoning Classification � Garage Size Overlay/Agreement VALUATION Nonresidential Use , b 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 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 Dis Enclosure Law Ap ies Yes #of Net New Units: Deferred Submitta eq'd Yes No Calculated School I ee: Approved by: Date: —3p� School I Fee Credit: Comments otal School Impact Fee Owed: Comments: Intake OK by: Intake OK by: 'PUBLIC 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 reen 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: l� ��~`,.