3305 NASSAU ST WA CENTER FOR PAIN MANAGEMENT 2018-12-21

FOR OFFICE USE ONLY PERMIT# \fl02-o \ BUILDING PLANNING Bldg/TI/Addn/Rem Size Zoning Classification Garage Size Overlay/Agreement VALUATION Nonresidential Use Me-o, C_0.\ 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\4 Existing Sprinkler System? Yes_ No_Unk Planning Inspector: Fire Sprinkler Required Yes_ No_ Phone#: ) Reason Approved by: � Date: Z'f kO 1 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!RCW 64.55 docs required prior to final?Yes_ No— Calculated School Impact Fee: Architectural Approved: Ii"C6 i LOIP Date:"7 1S/(? School Impact Fee Credit: Structural Approved: Date: Total School Impact Fee Owed: Comments: Comments: 1`Q,6oksia.o/ 'Q r^e/v\ - Intake OK by: N 0 % �� i'�iv``Qr.� pJ o Bpd Cl1 Intake OK by: .�K� Date: I �t 1 PUBLIC WORKS FEES INTAKE: Checked By: Date: Plan Check Fee Comments: Building Permit Al)t Surcharge High Hazard Sites(Dents,Medical,Animals,Mortuary,etc-Review for RPBA) Additional Plan Check 0 Public Works/Sys Dev/Traffic Mit./RPBA-NOT REQUIRED Plumbing Fee 0 Route for Public Works Review(bldg folder, PW Worksheet) Mechanical Fee 0 Public Works Permit-Concurrent Review(separate green folder) Ping Bldg Review Fee PW REVIEW: PW Reviewer: Date: Water Fee 0 PW Permit Approved-PW Sewer Fee 0 See PW Review Worksheet Systems Dev. Fee 0 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: